Cited by 35Grief, Bereavement, and Mental HealthGlobal Maternal and Child HealthMaternal and Perinatal Health Interventions

The experience of mothers and fathers in cases of stillbirth in Spain. A qualitative study

Martínez-Serrano, Paloma, Pedraz-Marcos, Azucena, Solís-Muñoz, Montserrat, Palmar-Santos, Ana María·2019·Midwifery

Abstract

Aim To explore the experience of both the mothers and the fathers regarding the care received during delivery in cases of stillbirth.Design A hermeneutic phenomenological study based on semi-structured interviews with eleven mothers and fathers who experienced stillbirth.Participants A purposive sample was recruited in Hospital XXX of XX and through a local pregnancy loss support organization.Methods Interviews were recorded and transcribed verbatim and analysed using inductive thematic analysis.Findings Four main categories identified: 1) denial of grief, 2) the life and death paradox, 3) guilt, and 4) go through and overcome the loss. The parents manifested a lack of recognition of their loss and their parenthood. Although the midwife was the highest valued professional, not all the experiences were positive and the parents would have appreciated being accompanied by trained people with good communication skills. They also referred to in-hospital logistic barriers that complicated the process, as well as the fact that these births occurred in the same place where healthy deliveries were attended.Conclusion Findings highlight the importance of tailoring support systems according to mothers' and fathers' needs. Promoting social and institutional recognition of this kind of loss and training healthcare professionals in the accompaniment of this type of mourning is useful to plan comprehensive care to facilitate the initiation and subsequent evolution of healthy mourning.

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Crossref · 10.1016/j.midw.2019.06.013

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  • Fathers react to unexpected news with shock, experience pain from loss, feel grief, helplessness, and despair, and have a sense of emptiness.

    “Previous studies have also found that fathers react to unexpected news with shock, experience pain from loss, feel grief, helplessness, and despair, and have a sense of emptiness.37,38”
  • Privacy and time to spend with the deceased infant, training of HCPs, and support groups or programs in the facility, as well as support after discharge, impacted parents' mental health.

    “In particular, privacy and time to spend with the deceased infant,105,129,134,136,144,145,151,155 training of HCPs,105,106,109,112,118,129,131,150 and support groups or programs in the facility,106,112,134 as well as support after discharge106,112,120,122,131,140,150 impacted parents’ mental health.”

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Authors
Martínez-Serrano, P., Pedraz-Marcos, A., Solís-Muñoz, M., & Palmar-Santos, A. M.
Venue
Midwifery
Publisher
Elsevier BV
Published
2019-10
Volume
77
Pages
37-44
ISSN
0266-6138 (ISSN-L)
OpenAlex
W2952536435
Cited by
35
References
49
Citations by year
2026: 4 · 2025: 3 · 2024: 20 · 2023: 4 · 2022: 1 · 2021: 1 · 2020: 2
FWCI
1.17
Type
journal article
Language
en
Open access
closed
Locations
  • Midwifery (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • Carlos III Institute of Health (PI10/01980)
  • Spanish Health Ministry
  • European Fund for Regional Development
  • Spanish Economy and Competitiveness Ministry
Topics
  • Social Sciences › Psychology › Clinical Psychology › Grief, Bereavement, and Mental Health
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Global Maternal and Child Health
  • Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
Keywords
stillbirth, parental experiences, grief, guilt, parenthood, midwifery care, mourning, health professions education
MeSH terms
Adaptation, Psychological, Adult, Bereavement, Fathers, Female, Humans, Interviews as Topic, Male, Mothers, Quality of Health Care, Spain, Patient Satisfaction, Qualitative Research, Stillbirth

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