The impact of midwife/nurse-led psychosocial interventions on parents experiencing perinatal bereavement: an integrative review
Open accessAbstract
BACKGROUND: Perinatal loss is a traumatic event associated with a high risk of parents experiencing negative psychological outcomes. Despite most parents being in regular contact with midwives and nurses during the perinatal period, there is a lack of evidence which hampers these professionals from using effective psychosocial interventions with parents. AIM: This study aims to synthesise the existing evidence on the types of psychosocial interventions delivered by midwives/nurses for parents with perinatal bereavement, their impacts on bereaved parents' mental health and the experiences of midwives and nurses in delivering psychosocial interventions for parents experiencing perinatal loss. DESIGN: An integrative review of the literature. METHODS: Whittemore and Knafl's five-stage integrative review framework guided this review. A systematic literature search of the Medline, PsycINFO, Embase, CINAHL and ASSIA, Cochrane Library and ProQuest databases was conducted from inception to January 2023, with no language or geographical limiters set due to the paucity of research published in this subject area. Two researchers independently screened and reviewed each study's data extraction and methodological quality using the Joanna Briggs Institute and Mixed Method Appraisal Tool. Results were analysed and synthesised using narrative synthesis. RESULTS: A total of 21 studies met the inclusion criteria. From these, we identified nine types of psychosocial interventions for perinatal bereavement that can be delivered by midwives and nurses. The positive impacts of midwife/nurse-led psychosocial interventions on grief, anxiety, depression posttraumatic stress disorder and other psychosocial outcomes amongst parents experiencing perinatal loss have been demonstrated. In addition, we identified the useful components of these interventions and the experiences of midwives and nurses in delivering psychosocial interventions, thereby highlighting barriers such as lack of knowledge and skills, stressful working environments and inadequate emotional support. CONCLUSION: Our findings demonstrate that midwife/nurse-led psychosocial interventions have the potential to improve grief, anxiety, depression, posttraumatic stress disorder symptoms and other psychosocial outcomes for parents experiencing perinatal loss. Thus, future research should consider training, workload, time cost and emotional support for midwives/nurses when developing midwife/nurse-led psychosocial interventions for parents with perinatal loss. REGISTRATION NUMBER: CRD42022369032. TWEETABLE ABSTRACT: Midwife/nurse-led psychosocial interventions have the potential to improve mental health amongst parents experiencing perinatal loss.
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Psychological support provided by nurses and midwives can significantly reduce the emotional burden on parents and improve their psychological outcomes.
“Researchers have demonstrated that psychological support provided by nurses and midwives can significantly reduce the emotional burden on parents, improving their psychological outcomes (Fernández-Férez et al., 2021; Xie et al., 2024; Yıldız Karaahmet and Bilgiç, 2024).”
From Nurses' and midwives' experiences of supporting parents following perinatal bereavement: A qualitative systematic review (2026) · cites this paper as Xie et al., 2024
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- Authors
- Xie, J., Hunter, A., Biesty, L., & Grealish, A.
- Affiliations
- Ollscoil na Gaillimhe – University of Galway (IE)
- King's College London (GB)
- Corresponding author
- Xie, Jiaying
- Venue
- International Journal of Nursing Studies
- Publisher
- Elsevier BV
- Published
- 2024-09
- Volume
- 157
- Pages
- 104814
- ISSN
- 0020-7489 (ISSN-L)
- OpenAlex
- W4398180365
- Cited by
- 21
- References
- 66
- Citations by year
- 2026: 12 · 2025: 9
- FWCI
- 1.86
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- International Journal of Nursing Studies (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Figshare (submittedVersion, cc-by-nc-sa)
- University of Limerick Institutional Repository (University of Limerick) (submittedVersion, cc-by-nc-sa)
- University of Limerick Institutional Repository (University of Limerick)
- Funders
- China Scholarship Council (202103370228)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Grief, Bereavement, and Mental Health
- Health Sciences › Health Professions › General Health Professions › Maternal and Neonatal Healthcare
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Keywords
- perinatal bereavement, perinatal loss, psychosocial interventions, midwife-led intervention, nurse-led intervention, parental mental health, grief, anxiety, depression, post-traumatic stress disorder
- MeSH terms
- Psychosocial Intervention, Bereavement, Female, Humans, Midwifery, Parents, Pregnancy
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