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The Journal of Obstetrics and Gynecology of India
Erschienen in:

06.09.2018 | Original Article

Psychosocial Implications of Stillborn Babies on Mother and Family: A Review from Tertiary Care Infirmary in India

verfasst von: Sheeba Marwah, Harsha Shailesh Gaikwad, Pratima Mittal

Erschienen in: The Journal of Obstetrics and Gynecology of India | Ausgabe 3/2019

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Abstract

Background

When a mother loses a baby after the period of viability, there is no way to fathom her grief, neither any words, nor an explanation. It is an unexpected event. Stillbirth presents a situation where the early activation of the grief process primarily in mother is exacerbated by the circumstances surrounding the loss. It thus becomes imperative for the healthcare providers to evaluate the significance of parent’s perception on the loss and the factors contributing to it before the initiation of therapy.

Objective

To evaluate the psychosocial impact of stillbirth among mothers and its contributing factors.

Materials and Methods

A WHO-funded prospective study was conducted in VMMC and Safdarjung Hospital from September 2015 to August 2016 on all women who gave birth to a stillborn baby, using a questionnaire based on EPDS, after taking their written informed consent. Data were entered on the predesigned proforma and analyzed after applying Chi-square test, keeping a null hypothesis value of 15% for all the variables.

Results

Out of the 709 women who delivered stillborn babies, 645 respondents, who willingly consented to participate, were included in the study. There was a significant relationship between psychosocial impact after perinatal loss and support from caregiver and family.

Conclusion

Mothers with stillborn fetuses should be screened for psychosocial impact and offered support when needed. Appropriate counseling by healthcare providers and continued psychosocial and emotional support by family members must be provided.
Literatur
1.
Burden C, Bradley S, Storey C, et al. From grief, guilt pain and stigma to hope and pride—a systematic review and meta-analysis of mixed-method research of the psychosocial impact of stillbirth. BMC Pregnancy Childbirth. 2016;16:9.CrossRefPubMedPubMedCentral
2.
Sutan R, Amin RM, Ariffin KB, et al. Psychosocial impact of mothers with perinatal loss and its contributing factors: an insight. J Univ-Sci B (Biomed Biotechnol). 2010;11(3):209–17.
3.
WHO’s independent Expert Review Group. Every woman, every child, every adolescent: achievements and prospects: the final report of the independent Expert Review Group on Information and Accountability for Women’s and Children’s health. Geneva: World Health Organization; 2015.
4.
Every Woman Every Child. Saving lives protecting future: progress report on the global strategy for women’s and children’s health 2010–2015. Italy: Every Woman Every Child; 2015.
5.
Bernis LD, Kinney MV, Stones W, et al. Ending preventable still births. Stillbirths: ending preventable deaths by 2030. The Lancet. 2016;387(2):703–16.CrossRef
6.
7.
Turton P, Evans C, Hughes P. Long-term psychosocial sequelae of stillbirth: phase II of a nested case-control cohort study. Arch Women’s Mental Health. 2009;12(1):35–41.CrossRef
8.
Flenady V, Boyle F, Koopmans L, et al. Meeting the needs of parents after a stillbirth or neonatal death. BJOG. 2014;121(Suppl. 4):137–40.CrossRefPubMed
9.
Cacciatore J. Psychological effects of stillbirth. Semin Fetal Neonatal Med. 2013;18:76–82.CrossRefPubMed
10.
11.
Redshaw M, Rowe R, Henderson J. Listening to parents: after stillbirth or the death of their baby after birth. Oxford: Policy Research Unit in Maternal Health and Care, National Perinatal Epidemiology Unit; 2014.
12.
Matthey S, Barnett B, Kavanagh DJ, et al. Validation of the Edinburgh Postnatal Depression Scale for men, and comparison of item endorsement with their partners. J Affect Disord. 2001;64(2–3):175–84.CrossRefPubMed
13.
Lawn JE, Blencowe H, Pattinson R, Cousens S, et al. Stillbirths: where, when, why? Lancet. 2011;377:1448–63.CrossRefPubMed
14.
Heazell AEP, Siassakos D, Blencowe H, et al. Stillbirths: economic and psychosocial consequences. Lancet. 2016;387:604–16.CrossRefPubMed
15.
Avelin P, Rådestad I, Säflund K, et al. Parental grief and relationships after the loss of a stillborn baby. Midwifery. 2013;29:668–73.CrossRefPubMed
16.
17.
Cacciatore J, Schnebly S, Frøen JF. The effects of social support on maternal anxiety and depression after stillbirth. Health Soc Care Community. 2009;17:167–76.CrossRefPubMed
18.
Nikkola I, Kaunonen M, Aho AL. Mother’s experience of the support from a bereavement follow-up intervention after the death of a child. J Clin Nurs. 2013;22:1151–62.CrossRefPubMed
19.
Bennett SM, Ehrenreich-May J, Litz BT, et al. Development and preliminary evaluation of a cognitive-behavioral intervention for perinatal grief. Cogn Behav Pract. 2012;19:161–73.CrossRef
20.
Crawley R, Lomax S, Ayers S, et al. Recovering from stillbirth: the effects of making and sharing memories on maternal mental health. J Reprod Infant Psychol. 2013;31:195–207.CrossRef
21.
Erlandsson K, Avelin P, Saflund K, et al. Siblings’ farewell to a stillborn sister or brother and parents’ support to their older children: a questionnaire study from the parents’ perspective. J Child Health Care. 2010;14:151–60.CrossRefPubMed
22.
Avelin P, Erlandsson K, Hildingsson I, et al. Swedish parents’ experiences of parenthood and the need for support to siblings when a baby is stillborn. Birth. 2011;38:150–8.CrossRefPubMed
23.
Ryninks K, Roberts-Collins C, McKenzie-McHarg K, et al. Mothers’ experience of their contact with their stillborn infant: an interpretative phenomenological analysis. BMC Pregnancy Childbirth. 2014;14:203.CrossRefPubMedPubMedCentral
24.
Erlandsson K, Warland J, Cacciatore J, et al. Seeing and holding a stillborn baby: mothers’ feelings in relation to how their babies were presented to them after birth—findings from an online questionnaire. Midwifery. 2013;29:246–50.CrossRefPubMed
25.
Rådestad I, Surkan P, Steineck G, et al. Long-term outcomes for mothers who have or have not held their stillborn baby. Midwfery. 2009;25:422–9.CrossRef
26.
Farrow VA, Goldenberg RL, Fretts R, et al. Psychological impact of stillbirths on obstetricians. J Matern Fetal Neonatal Med. 2013;26:748–52.CrossRefPubMed
27.
Nuzum D, Meaney S, O’Donoghue K. The impact of stillbirth on consultant obstetrician gynaecologists: a qualitative study. BJOG. 2014;121:1020–8.CrossRefPubMed
28.
McCool W, Guidera M, Stenson M, et al. The pain that binds us: midwives’ experiences of loss and adverse outcomes around the world. Health Care Women Int. 2009;30:1003–13.CrossRefPubMed
29.
Liisa AA, Marja-Terttu T, Paivi AK, et al. Health care personnel’s experiences of a bereavement follow-up intervention for grieving parents. Scand J Caring Sci. 2011;25:373–82.CrossRefPubMed
30.
Steen SE. Perinatal death: bereavement interventions used by US and Spanish nurses and midwives. Int J Palliat Nurs. 2015;21:79–86.CrossRefPubMed
31.
Jonas-Simpson C, McMahon E, Watson J, et al. Nurses’ experiences of caring for families whose babies were born still or died shortly after birth. Int J Hum Caring. 2010;14:14–21.CrossRef
32.
Puia DM, Lewis L, Beck CT. Experiences of obstetric nurses who are present for a perinatal loss. J Obstet Gynecol Neonatal Nurs. 2013;42:321–31.CrossRefPubMed
33.
Horey D, Flenady V, Heazell AE, et al. Interventions for supporting parents’ decisions about autopsy after stillbirth. Cochrane Database Syst Rev. 2013;2:CD009932.
34.
Koopmans L, Wilson T, Cacciatore J, et al. Support for mothers, fathers and families after perinatal death. Cochrane Database Syst Rev. 2013;6:CD000452.
35.
Mills TA, Ricklesford C, Cooke A, et al. Parents’ experiences and expectations of care in pregnancy after stillbirth or neonatal death: a metasynthesis. BJOG. 2014;121:943–50.CrossRefPubMed
36.
Blackmore ER, Côté-Arsenault D, Tang W, et al. Previous prenatal loss as a predictor of perinatal depression and anxiety. Br J Psychiatry. 2011;198:373–8.CrossRefPubMedPubMedCentral
37.
Flenady V, King J, Charles A, et al. Perinatal Society of Australia and New Zealand (PSANZ) Clinical Practice Guideline for Perinatal Mortality. Version 2.2. Brisbane 2009.
38.
Alison E, Chebsey C, Storey C, et al. Systematic review to understand and improve care after stillbirth: a review of parents’ and healthcare professionals’ experiences. BMC Pregnancy Childbirth. 2016;16(16):1–19.
39.
40.
Frøen JF, Cacciatore J, McClure EM, et al. Stillbirths: why they matter. Lancet. 2011;377:1353–66.CrossRefPubMed
41.
Koopmans L, Wilson T, Cacciatore J, et al. Support for mothers, fathers and families after perinatal death. Cochrane Database Syst Rev. 2013;6:CD000452.
42.
Metadaten
Titel
Psychosocial Implications of Stillborn Babies on Mother and Family: A Review from Tertiary Care Infirmary in India
verfasst von
Sheeba Marwah
Harsha Shailesh Gaikwad
Pratima Mittal
Publikationsdatum
06.09.2018
Verlag
Springer India
Erschienen in
The Journal of Obstetrics and Gynecology of India / Ausgabe 3/2019
Print ISSN: 0971-9202
Elektronische ISSN: 0975-6434
DOI
https://doi.org/10.1007/s13224-018-1173-x

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