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Cited by 105Grief, Bereavement, and Mental HealthMaternal Mental Health During Pregnancy and PostpartumGlobal Maternal and Child Health

Long-term psychosocial sequelae of stillbirth: phase II of a nested case-control cohort study

Turton, Penelope, Evans, Chris, Hughes, Patricia·2009·Archives of Women's Mental Health
DOI 10.1007/s00737-008-0040-7
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Abstract

Stillbirth is associated with increased psychological morbidity in the subsequent pregnancy and puerperium. This study aimed to assess longer-term psychological and social outcomes of stillbirth and to identify factors associated with adverse outcome. We conducted seven-year follow-up of a cohort of women who were initially assessed during and after a pregnancy subsequent to stillbirth, together with pair-matched controls. All women were living with a partner at baseline and none had live children. Measured outcomes at follow-up included depression, posttraumatic stress disorder (PTSD) and partnership breakdown. Comparison variables included social and psychological factors and, for the stillbirth group, factors relating to the lost pregnancy. There were no differences between groups in case level psychological morbidity, but significantly higher levels of PTSD symptoms persisted in stillbirth group mothers who had case level PTSD 7 years earlier. Stillbirth group mothers were more likely to have experienced subsequent partnership breakdown. In the stillbirth group such breakdown was associated with having held the stillborn infant and having had case-level PTSD. Interpretations and clinical implications of these findings are discussed.

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Crossref · 10.1007/s00737-008-0040-7

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  • Experiences identified in this review, such as guilt and blame, a sense of isolation, and increased fractured relationships as a result of loss, have been previously identified in studies exploring mothers' experiences of perinatal death.

    “There were a number of experiences identified in this review that have been previously identified in studies exploring mothers' experiences of perinatal death such as common emotions including guilt and blame, a sense of isolation, and increased fractured relationships as a result of loss (Gold et al., 2018;Kersting & Wagner, 2012;Turton et al., 2009).”

    From Fathers’ experiences of perinatal death following miscarriage, stillbirth, and neonatal death: A meta-ethnography (2026) · cites this paper as Turton et al., 2009

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Authors
Turton, P., Evans, C., & Hughes, P.
Affiliations
  • St George's, University of London (GB)
  • Nottinghamshire Healthcare NHS Foundation Trust (GB)
Corresponding author
Turton, Penelope
ORCID
Evans, Chris
Venue
Archives of Women's Mental Health
Publisher
Springer Science and Business Media LLC
Published
2009-01-10
Volume
12
Issue
1
Pages
35-41
ISSN
  • 1434-1816 (ISSN-L)
  • 1435-1102
DOI
10.1007/s00737-008-0040-7
OpenAlex
W2007777545
Cited by
105
References
34
Citations by year
2025: 4 · 2024: 5 · 2023: 3 · 2022: 4 · 2021: 5 · 2020: 6 · 2019: 6 · 2018: 7 · 2017: 9 · 2016: 7 · 2015: 16 · 2014: 12 · 2013: 6 · 2012: 6
FWCI
5.31
Type
journal article
Language
en
Open access
closed
Licence
www.springer.com/tdm (tdm)
Locations
  • Archives of Women s Mental Health (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Grief, Bereavement, and Mental Health
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Global Maternal and Child Health
Keywords
stillbirth, post-traumatic stress disorder, depression, psychosocial outcomes, subsequent pregnancy, postpartum period, maternal mental health, long-term follow-up
MeSH terms
Adult, Depression, Female, Humans, Middle Aged, Psychology, Stress Disorders, Post-Traumatic, Case-Control Studies, Stillbirth

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