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Long-term psychosocial sequelae of stillbirth: phase II of a nested case-control cohort study
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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“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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Metadata
- 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
- Published
- 2009-01-10
- Volume
- 12
- Issue
- 1
- Pages
- 35-41
- ISSN
- 1434-1816 (ISSN-L)
- 1435-1102
- 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
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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