Psychological aspects of perinatal loss
Abstract
After perinatal loss, parents experience painful grief. Fathers and mothers show the same pattern of symptoms, but generally mothers' distress is more intense. Grief should be sympathetically acknowledged by health professionals, and parents should be reassured that their feelings are normal and that recovery may take many months. Intense depression lasting more than 6 months may require psychological treatment. There is some evidence that delaying conception for a year may allow an easier pregnancy psychologically. The common practice of encouraging parents to have contact with a dead infant is not evidence-based and may have adverse effects, including inducing symptoms of post-traumatic stress disorder. A protocol of postnatal follow-up allows parents to get appropriate information about the loss, including possible problems and timing of another pregnancy. The subsequent pregnancy is stressful, and health professionals should recognize that parents may suffer significant anxiety.
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Training programs or tested protocols for supporting parent bereavement after a stillbirth remain inconsistent and in need of further evaluation and development.
“training programs or tested protocols for supporting parent bereavement after a stillbirth remain inconsistent and in need of further evaluation and development [17-24]”
From Silent loss and the clinical encounter: Parents’ and physicians’ experiences of stillbirth–a qualitative analysis (2012) · cites this paper as [24]
Our findings confirm a shared theme in the literature on the psychological impact of stillbirth on parents: the grief and devastation are deeply felt but not socially recognized.
“Our findings confirm a shared theme in the literature on the psychological impact of stillbirth on parents: the grief and devastation are deeply felt but not socially recognized [7,24,27-30].”
From Silent loss and the clinical encounter: Parents’ and physicians’ experiences of stillbirth–a qualitative analysis (2012) · cites this paper as [24]
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- Authors
- Badenhorst, W., & Hughes, P.
- Affiliations
- St George's, University of London (GB)
- Corresponding author
- Hughes, Patricia
- ORCID
- Badenhorst, William
- Venue
- Best Practice & Research Clinical Obstetrics & Gynaecology
- Publisher
- Elsevier BV
- Published
- 2007-04
- Volume
- 21
- Issue
- 2
- Pages
- 249-259
- ISSN
- 1521-6934 (ISSN-L)
- OpenAlex
- W2066936694
- Cited by
- 236
- References
- 79
- Citations by year
- 2026: 2 · 2025: 10 · 2024: 6 · 2023: 7 · 2022: 11 · 2021: 6 · 2020: 16 · 2019: 7 · 2018: 12 · 2017: 66 · 2016: 20 · 2015: 9 · 2014: 15 · 2013: 10 · 2012: 6
- FWCI
- 0.65
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Best Practice & Research Clinical Obstetrics & Gynaecology (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 › Health Professions › General Health Professions › Maternal and Neonatal Healthcare
- Keywords
- perinatal loss, stillbirth, neonatal death, grief, maternal distress, paternal grief, depression, post-traumatic stress disorder, postpartum follow-up, subsequent pregnancy, anxiety, psychological recovery
- MeSH terms
- Female, Grief, Humans, Pregnancy, Stillbirth
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