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Cited by 375Grief, Bereavement, and Mental HealthMaternal Mental Health During Pregnancy and PostpartumGlobal Maternal and Child Health

The DOI matches its Crossref record; 32 of the 32 references it cites were found in a registry or an index.

Assessment of guidelines for good practice in psychosocial care of mothers after stillbirth: a cohort study

Hughes, P, Turton, P, Hopper, E, Evans, CDH·2002·The Lancet
DOI 10.1016/s0140-6736(02)09410-2
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Abstract

Background Most maternity units have good practice protocols, advising that after stillbirth parents should be encouraged to see and hold their dead infant. Our aim was to assess whether adherence to these protocols is associated with measurably beneficial effects on the psychological health of mother and next-born child. This study forms part of a wider case-control study of the psychological effects of stillbirth.Methods We identified 65 women in the pregnancy after stillbirth, and enrolled matched controls for 60 of them. Outcome measures included depression, anxiety, and post-traumatic-stress disorder (PTSD) in pregnancy and 1 year after the next birth, and disorganised attachment behaviour in the next-born infant. Comparison variables included seeing and holding the stillborn infant, having a funeral, and keeping mementoes.Findings Behaviours that promote contact with the stillborn infant were associated with worse outcome. Women who had held their stillborn infant were more depressed than those who only saw the infant, while those who did not see the infant were least likely to be depressed (13 of 33, 39%, vs three of 14, 21%, vs one of 17, 6%; p=0.03). Women who had seen their stillborn infant had greater anxiety (p=0.02) and higher symptoms of PTSD than those who had not (p=0.02), and their next-born infants were more likely to show disorganised attachment behaviour (18 of 43, 42%, vs one of 12, 8%, p=0 x 04). Having a funeral and keeping mementoes were not associated with further adverse outcomes, but small numbers limited interpretation.Interpretation Our findings do not support good-practice guidelines, which state that failure to see and hold the dead child could have adverse effects on parents' mourning.

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Crossref · 10.1016/s0140-6736(02)09410-2

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Metadata

Authors
Hughes, P., Turton, P., Hopper, E., & Evans, C.
Affiliations
  • St George's Hospital (GB)
  • Rampton Hospital (GB)
Corresponding author
Hughes, P
ORCID
Hopper, E
Venue
The Lancet
Publisher
Elsevier BV
Published
2002-07
Volume
360
Issue
9327
Pages
114-118
ISSN
  • 0099-5355 (ISSN-L)
  • 0140-6736
DOI
10.1016/s0140-6736(02)09410-2
OpenAlex
W2133400295
Cited by
375
References
32
Citations by year
2026: 2 · 2025: 9 · 2024: 4 · 2023: 22 · 2022: 9 · 2021: 9 · 2020: 11 · 2019: 6 · 2018: 16 · 2017: 61 · 2016: 14 · 2015: 22 · 2014: 14 · 2013: 22 · 2012: 24
FWCI
20.59
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • The Lancet (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, psychosocial care, maternal depression, maternal anxiety, post-traumatic stress disorder, disorganized attachment, good practice guidelines, bereavement, funerals
MeSH terms
Adult, Female, Fetal Death, Grief, Humans, Psychosocial Deprivation, Cohort Studies, Case-Control Studies, Practice Guidelines as Topic

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