Cited by 216Grief, Bereavement, and Mental HealthInfant Development and Preterm CareMaternal and Neonatal Healthcare

Support for mothers, fathers and families after perinatal death

Open access
Koopmans, Laura, Wilson, Trish, Cacciatore, Joanne, Flenady, Vicki·2013·Cochrane Database of Systematic Reviews

Abstract

BACKGROUND: Provision of an empathetic, sensitive, caring environment and strategies to support mothers, fathers and their families experiencing perinatal death are now an accepted part of maternity services in many countries. Interventions such as psychological support or counselling, or both, have been suggested to improve outcomes for parents and families after perinatal death. OBJECTIVES: To assess the effect of any form of intervention (i.e. medical, nursing, midwifery, social work, psychology, counselling or community-based) on parents and families who experience perinatal death. SEARCH METHODS: We searched the Cochrane Pregnancy and Childbirth Group's Trials Register (28 January 2013) and article bibliographies. SELECTION CRITERIA: Randomised trials of any form of support aimed at encouraging acceptance of loss, bereavement counselling, or specialised psychotherapy or counselling for mothers, fathers and families experiencing perinatal death. DATA COLLECTION AND ANALYSIS: Two review authors independently assessed eligibility of trials. MAIN RESULTS: No trials were included. AUTHORS' CONCLUSIONS: Primary healthcare interventions and a strong family and social support network are invaluable to parents and families around the time a baby dies. However, due to the lack of high-quality randomised trials conducted in this area, the true benefits of currently existing interventions aimed at providing support for mothers, fathers and families experiencing perinatal death is unclear. Further, the currently available evidence around the potential detrimental effects of some interventions (e.g. seeing and holding a deceased baby) remains inconclusive at this point in time. However, some well-designed descriptive studies have shown that, under the right circumstances and guided by compassionate, sensitive, experienced staff, parents' experiences of seeing and holding their deceased baby is often very positive. The sensitive nature of this topic and small sample sizes, make it difficult to develop rigorous clinical trials. Hence, other research designs may further inform practice in this area. Where justified, methodologically rigorous trials are needed. However, methodologically rigorous trials should be considered comparing different approaches to support.

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  • Despite shifting recommendations or lack of empirical evidence, hospital perinatal bereavement guidelines in Western cultures typically involve interdisciplinary support (social workers, chaplains, nurses), encouraging parents to choose to see and hold their baby, build attachment, and make meaning by keeping mementos.

    “However, despite shifting recommendations or lack of empirical evidence, hospital perinatal bereavement guidelines in Western cultures typically involve interdisciplinary support (social workers, chaplains, nurses), encouraging parents to choose to see and hold their baby, build attachment, and make meaning by keeping mementos.28–30”

    From Bereavement care guidelines used in health care facilities immediately following perinatal loss: a scoping review (2024) · cites this paper as [28]

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  • Fifty reports pertaining to good communication reported parents' mental health outcomes to include coping, depression, anxiety, emotional distress, frustration, and anger.

    “Fifty reports pertaining to good communication reported parents’ mental health outcomes to include coping, depression, anxiety, emotional distress, frustration, and anger.”

    From Bereavement care guidelines used in health care facilities immediately following perinatal loss: a scoping review (2024) · cites this paper as [28]

    The Relationships section links communication between bereaved partners with grief reactions and discusses depression and anxiety; Primary outcomes also lists depressed mood and anxiety. The copy does not report fifty studies of good communication or present the claimed list of coping, emotional distress, frustration, and anger as their mental-health outcomes. The indexed passages provide no page numbers. (LLM, conf=0.84)

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  • The use of sedation or tranquilizers was identified in older literature, although this practice was also identified in a few more recent sources.

    “The use of sedation or tranquilizers was identified in older literature, although this practice was also identified in a few more recent sources.”

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Research works printed but not linked: 6

  1. Fish W. Differences in grief intensity in bereaved parents. Champaigne, IL: Research Press Company, 1986.
  2. Kersting A, Schlicht S, Kroker K. [Internet therapy. Opportunities and boundaries]. Nervenarzt 2009;80(7):797-804.
  3. McGraw 2008
  4. Schulze A, Wermuth I. Compassionate care for terminally ill term and preterm infants. Zeitschri fur Geburtshilfe und Neonatologie 2007;211(2):54-9.
  5. Shreffler K, Hill T, Cacciatore J. The impact of infertility, miscarriage, stillbirth, and child death on marital dissolution. Journal of Divorce and Remarriage 2012;53(2):91-107.
  6. Turton P, Hughes P, Evans CD, Fainman D. The incidence and significance of post traumatic stress disorder in the pregnancy a er stillbirth. British Journal of Psychiatry 2001;178:556-60.

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Authors
Koopmans, L., Wilson, T., Cacciatore, J., & Flenady, V.
Affiliations
  • Mater Health Services (AU)
  • Mater Mothers' Hospital (AU)
  • Arizona State University (US)
Venue
Cochrane Database of Systematic Reviews
Publisher
Wiley
Published
2013-06-19
Volume
2013
Issue
6
Pages
CD000452-CD000452
ISSN
  • 1361-6137 (ISSN-L)
  • 1465-1858
OpenAlex
W1902716212
Cited by
216
References
117
Citations by year
2026: 7 · 2025: 13 · 2024: 9 · 2023: 27 · 2022: 12 · 2021: 20 · 2020: 14 · 2019: 13 · 2018: 17 · 2017: 19 · 2016: 15 · 2015: 19 · 2014: 13 · 2013: 3 · 2012: 5
FWCI
2.46
Type
journal article
Language
en
Open access
Locations
  • Cochrane Database of Systematic Reviews (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Funders
National Institute for Health and Care Research (10/4001/02, SRP/10/4001/02)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Grief, Bereavement, and Mental Health
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Infant Development and Preterm Care
  • Health Sciences › Health Professions › General Health Professions › Maternal and Neonatal Healthcare
Keywords
perinatal death, parental bereavement, psychological support, counseling, psychotherapy, family support, acceptance of loss, obstetric care, social support networks
MeSH terms
Bereavement, Counseling, Death, Humans, Infant, Newborn, Life Change Events, Nuclear Family, Social Support

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