Long-term impact of perinatal bereavement. Comparison of grief reactions after intrauterine versus neonatal death

European Journal of Obstetrics, Gynecology, and Reproductive Biology
A H SchaapP E Treffers

Abstract

To investigate possible differences in emotional impact on parents following either a deliberate intrauterine death or a neonatal death in extremely preterm growth retarded infants. Retrospectively matched study by audiotaped semi-structured interview, 3-9 years after the perinatal loss. Nineteen couples (ten in the intrauterine death group and nine in the neonatal death group) consented to participate. More than 50% of the intrauterine death group couples could not share or discuss their emotions. Most partners in this group did not feel the loss of their own child. Discongruent grieving between partners was more pronounced in the intrauterine death group and could be identified as a risk factor for prolonged and abnormal grief reactions. Four couples (three in the intrauterine death group and one in the neonatal death group) developed long-term emotional disturbance and psychosocial problems. Long-term follow-up in both groups was failing remarkably. Assimilating a non-intervention policy followed by fetal death requires different skills and is more complicated than grief support around an early neonatal death. Follow-up is essential to identify the couple 'at risk' and to mobilize extra support.

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Citations

Jan 19, 2007·Psychotherapy and Psychosomatics·Stefan BüchiTom Sensky
Jun 20, 2012·BMC Women's Health·Rosnah Sutan, Hazlina Mohd Miskam
Oct 17, 2013·Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN·Marianne H HuttiJohn Myers
Mar 6, 2013·Journal of Advanced Nursing·Kimberly Fenstermacher, Judith E Hupcey
Mar 24, 2016·Archives of Women's Mental Health·Jennifer E JohnsonCaron Zlotnick
Oct 18, 2005·Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN·Marianne H Hutti
Aug 11, 2007·American Journal of Obstetrics and Gynecology·Annelies RepJohanna I P de Vries
May 9, 2006·Lancet·Cynthia StantonKenneth Hill
Jun 12, 2014·BMJ Supportive & Palliative Care·Daniel NuzumKeelin O'Donoghue
Dec 13, 2016·JBI Database of Systematic Reviews and Implementation Reports·Jann FosterTiffany Patterson
Nov 14, 2007·The American Journal of Hospice & Palliative Care·Jay M Milstein, Bonnie Raingruber
Jul 25, 2000·Journal of Psychosomatic Obstetrics and Gynaecology·K SäflundR Wredling
Jan 30, 2019·Omega·Livia SaniMarie-Frédérique Bacqué
Mar 5, 2014·BJOG : an International Journal of Obstetrics and Gynaecology·D NuzumK O'Donoghue

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