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Cited by 60Grief, Bereavement, and Mental HealthMaternal and Neonatal HealthcareMaternal and Perinatal Health Interventions

Effect of a structured follow‐up visit to a midwife on women with early miscarriage: a randomized study

ADOLFSSON, ANNSOFIE, BERTERÖ, CARINA, LARSSON, PER‐GÖRAN·2006·Acta Obstetricia et Gynecologica Scandinavica
DOI 10.1080/00016340500539376
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Abstract

Background. Women's grief after miscarriage is substantial and important. Women who experience early miscarriage do not constitute a homogenous group. The aim of this study is to measure whether a structured follow‐up visit to a midwife (group 1) at 21–28 days after early miscarriage could reduce the women's grief, measured using the perinatal grief scale Swedish short version (PGS) after a further 3 months (i.e. 4 months after the miscarriage), compared to a regular follow‐up visit to a midwife (group 2). Methods. We performed an open randomized study of women who experienced early miscarriage (n = 88). The midwife's attitude in group 1 came from Swanson science theory of midwifery. In group 2, the women were offered only the ordinary type of consultation at a regular visit. A questionnaire with the PGS was used in both groups. Four months after the miscarriage, a second questionnaire with the same perinatal grief scale was sent by post. Results. There was a 30% greater reduction in grief in group 1 than that in group 2, when comparing the first and second measurements (not significant). The biggest differences were in the subscales active grief and difficulty in coping. Women with the subdiagnosis missed abortions had, as a group, significantly higher PGS scores at both visits, especially in active grief and difficulty in coping, regardless of the type of follow‐up visit. Conclusions. A structured follow‐up visit did not, in comparison with a regular follow‐up visit, imply any significant reduction in grief as measured using the PGS scale. However, the subgroup missed abortion had more extensive grief than the other women with miscarriage. Structured follow‐up visits are not imperative for all women with early miscarriage.

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  • Childless women who suffer a miscarriage have significantly higher levels of grief than women who already have children.

    “Childless women who suffer a miscarriage have significantly higher levels of grief than women who already have children,34, 35”

    From Complicated grief after perinatal loss (2012) · cites this paper as [35]

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Authors
ADOLFSSON, A., BERTERÖ, C., & LARSSON, P.
Affiliations
Linköping University (SE)
Corresponding author
ADOLFSSON, ANNSOFIE
ORCID
Venue
Acta Obstetricia et Gynecologica Scandinavica
Publisher
Wiley
Published
2006-03
Volume
85
Issue
3
Pages
330-335
ISSN
  • 0001-6349 (ISSN-L)
  • 1600-0412
DOI
10.1080/00016340500539376
OpenAlex
W1993081371
Cited by
60
References
24
Citations by year
2025: 2 · 2024: 4 · 2023: 3 · 2022: 1 · 2021: 3 · 2020: 4 · 2019: 1 · 2018: 2 · 2017: 2 · 2016: 2 · 2015: 5 · 2014: 4 · 2013: 3 · 2012: 5
FWCI
2.95
Type
journal article
Language
en
Open access
closed
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor, 1766 d)
Locations
  • Acta Obstetricia Et Gynecologica Scandinavica (publishedVersion)
  • PubMed (publishedVersion)
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 › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
Keywords
early pregnancy loss, perinatal grief, structured follow-up, missed abortion, coping with loss, Perinatal Grief Scale
MeSH terms
Abortion, Spontaneous, Abortion, Induced, Adult, Attitude of Health Personnel, Counseling, Female, Grief, House Calls, Humans, Midwifery, Pregnancy, Prospective Studies

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