Pregnancy decisions after fetal or perinatal death: systematic review of qualitative research

Dyer, Eleanor; Bell, Ruth; Graham, Robert H.; Rankin, Judith

doi:10.1136/bmjopen-2019-029930

Cited by 11 publications

(5 citation statements)

References 73 publications

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“…PD has repercussions in subsequent pregnancies [60], which is a complex situation that requires health professionals' support [61]. In some studies, mothers and fathers expressed that a new pregnancy would decrease their pain and emotional emptiness [19,62].…”

Section: Discussionmentioning

confidence: 99%

Impact of Perinatal Death on the Social and Family Context of the Parents

Fernández‐Sola

Camacho-Ávila

Hernández‐Padilla

et al. 2020

IJERPH

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Background: Perinatal death (PD) is a painful experience, with physical, psychological and social consequences in families. Each year, there are 2.7 million perinatal deaths in the world and about 2000 in Spain. The aim of this study was to explore, describe and understand the impact of perinatal death on parents’ social and family life. Methods: A qualitative study based on Gadamer’s hermeneutic phenomenology was used. In-depth interviews were conducted with 13 mothers and eight fathers who had suffered a perinatal death. Inductive analysis was used to find themes based on the data. Results: Seven sub-themes emerged, and they were grouped into two main themes: 1) perinatal death affects family dynamics, and 2) the social environment of the parents is severely affected after perinatal death. Conclusions: PD impacts the family dynamics of the parents and their family, social and work environments. Parents perceive that society trivializes their loss and disallows or delegitimizes their grief. Implications: Social care, health and education providers should pay attention to all family members who have suffered a PD. The recognition of the loss within the social and family environment would help the families to cope with their grief.

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Section: Discussionmentioning

confidence: 99%

Impact of Perinatal Death on the Social and Family Context of the Parents

Fernández‐Sola

Camacho-Ávila

Hernández‐Padilla

et al. 2020

IJERPH

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“…Each qualitative study was assessed using the 2018 Critical Appraisal Skills Programme (CASP) checklist for qualitative research (CASP, 2018). To assess overall study quality, a quality score was calculated by assigning numerical values to each response option (yes = 2, cannot tell = 1, no = 0), and summing across the individual CASP questions, with a maximum possible score of 20 (Dyer et al, 2019). Critical appraisal of the papers according to the CASP checklist identified several gaps in the quality of the papers overall (supporting information Table S2).…”

Section: Quality Assessmentmentioning

confidence: 99%

Factors influencing breastfeeding practices in China: A meta‐aggregation of qualitative studies

Zhang

Zolezzi

et al. 2021

Maternal & Child Nutrition

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The World Health Organization recommends that women exclusively breastfeed until their babies are 6 months old and continue to breastfeed while introducing complementary foods. A meta-aggregation methodology was used to systematically review and synthesise the qualitative studies on factors influencing breastfeeding practices of healthy Chinese women in Greater China. English and Chinese databases were searched to identify peer-reviewed qualitative studies (published 2008-2019).Relevant data were extracted, and key themes related to factors influencing breastfeeding practices were identified. Of 7587 articles identified, 22 qualitative studies met inclusion criteria for the review, 10 of which were published in Chinese.A total of 87 themes were extracted from all included studies and classified into 9 subcategories: government enactment of policies, implementation of policies in workplaces, social expectations, social support, medical and health services, services with Chinese characteristics, breastfeeding and pumping facilities, maternal perceptions of breastfeeding and self-efficacy to breastfeed. The nine subcategories were then grouped into four categories. Potential effect associations among these influence factors of breastfeeding practices emerged from categories and subcategories. Family members' influence on breastfeeding motivation and self-efficacy suggest a potential benefit of breastfeeding promotion interventions targeting the whole family. The role of primary care should be fully exploited in breastfeeding promotion, including both prenatal education and post-partum visits. Standardising the training and qualifications of maternity matrons (yuesao) and folk breastfeeding specialists (cuirushi) can promote evidence-based approaches to facilitating breastfeeding during the confinement period. Increased availability of breastfeeding and pumping facilities in the workplace would facilitate continuing breastfeeding after returning to work.

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“…Planning pregnancy after death is complex and varies between individuals and sometimes within couples. Dyer et al (2019) reported the descriptive themes included deciding about subsequent pregnancy, diversity of reactions to the event, social network influences, and planning or timing of subsequent pregnancy.…”

Section: Special Care For Women Who Lost Their Babiesmentioning

confidence: 99%

Prenatal Mental Health: Continuous Care from Pregnancy

Yoshida

Iwayama

Jayarajah

et al. 2020

Mental Health and Illness Worldwide

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Childbirth brings biological, socioeconomical, and psychological changes to women. Health professionals need to understand fully the mother's understanding of the concept of motherhood and family. Not only psychologists and psychiatrists but also all the health staff who are working in perinatal medicine are recommended to have receptive listening skills in communication. Then it is important to receive education and training on maternal mental health to provide their service. The staff must know that most risk factors which lead women to suffer disturbances of mental health are identified during pregnancy period and that severity is different between the normal range of maternal worries and psychiatric symptoms. Prevention, care, and treatment strategy throughout this period should be well designed to be carried out in a multidisciplinary way to women at risk or in need of care. Stigma of mental illnesses is an obstacle for women who seek emotional and psychiatric support. Maternal mental care system starting from pregnancy which covers all kinds of problems is important for well-being of mothers and their families.

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Pregnancy decisions after fetal or perinatal death: systematic review of qualitative research

Cited by 11 publications

References 73 publications

Impact of Perinatal Death on the Social and Family Context of the Parents

Impact of Perinatal Death on the Social and Family Context of the Parents

Factors influencing breastfeeding practices in China: A meta‐aggregation of qualitative studies

Prenatal Mental Health: Continuous Care from Pregnancy

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