Emotional Effect of the Loss of One or Both Fetuses in a Monochorionic Twin Pregnancy
Abstract
Objective To examine the psychological effect on women of the loss of one or both fetuses during a monochorionic twin pregnancy and to identify associated protective and risk factors. Design Descriptive, cross-sectional, correlational study. Setting Maternity unit of the Vall d'Hebron University Hospital in Barcelona, Spain. Participants Twenty-eight White Spanish women who lost one or both fetuses during a monochorionic twin pregnancy. Methods In an individual interview with each participant, we collected sociodemographic information, psychiatric history, and clinical data regarding the pregnancy. Participants also completed the following questionnaires: Spanish Short Version of the Perinatal Grief Scale, Impact of Event Scale-Revised, Beck Depression Inventory, and the State-Trait Anxiety Inventory. Results Greater levels of grief after fetal loss during a monochorionic twin pregnancy were associated with increased symptoms of depression, anxiety, and posttraumatic stress. The intensity of grief did not depend on the number of weeks of pregnancy at which the loss occurred, a history of miscarriage, the survival of one of the twins, the presence of living children, or any of the sociodemographic variables considered. Conclusion Fetal loss in a monochorionic twin pregnancy has a considerable emotional effect and leaves the mother vulnerable to psychological problems. The survival of one of the twins or the presence of living children is no guarantee that the grieving mother's…
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Intensity of grief was not determined by the period of the pregnancy at which the loss occurred, previous miscarriages, the presence of living children, the survival of one of the twins, or any of the sociodemographic variables examined.
“In a descriptive cross-sectional, correctional study in Spain by Druguet et al. (2018), the researchers concluded that intensity of grief was not determined by the period of the pregnancy at which the loss occurred, previous miscarriages, the presence of living children, the survival of one of the twins, or any of the sociodemographic variables examined.”
From Integrative Review of Emotional Care Following Perinatal Loss (2021) · cites this paper as Druguet et al. (2018)
When a perinatal loss occurs in a multiple pregnancy, as part of mourning a mother needs to recognize the distinct identity of each twin and allow herself to grieve the deceased twin.
“When a perinatal loss occurs in a multiple pregnancy, as part of the elaboration of mourning a mother needs to recognize the distinct identity of each of the twins, and allow herself to grieve the deceased twin (Druguet et al., 2018).”
From Integrative Review of Emotional Care Following Perinatal Loss (2021) · cites this paper as Druguet et al., 2018
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References 39 · Cited by 11
- Authors
- Druguet, M., Nuño, L., Rodó, C., Arévalo, S., Carreras, E., & Gómez-Benito, J.
- Venue
- Journal of Obstetric, Gynecologic & Neonatal Nursing
- Publisher
- Elsevier BV
- Published
- 2018-03
- Volume
- 47
- Issue
- 2
- Pages
- 137-145
- ISSN
- 0090-0311 (ISSN-L)
- 0884-2175
- OpenAlex
- W2786090308
- Cited by
- 11
- References
- 39
- Citations by year
- 2025: 2 · 2024: 1 · 2022: 3 · 2021: 2 · 2020: 2 · 2019: 1
- FWCI
- 1.47
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Obstetric, Gynecologic & Neonatal Nursing (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 › Assisted Reproductive Technology and Twin Pregnancy
- Keywords
- monochorionic twin pregnancy, fetal death, perinatal grief, maternal depression, anxiety, post-traumatic stress, psychological impact, twin survival
- MeSH terms
- Abortion, Spontaneous, Adaptation, Psychological, Adult, Cross-Sectional Studies, Female, Fetal Death, Grief, Hospitals, University, Humans, Infant, Newborn, Mothers, Pregnancy, Prenatal Care, Socioeconomic Factors, Spain, Twins, Monozygotic, Incidence, Ultrasonography, Prenatal, Risk Assessment, Pregnancy, Twin
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