Hospital Care for Parents After Perinatal Death
Abstract
OBJECTIVE: To systematically review parent experiences with hospital care after perinatal death. DATA SOURCES: An evaluation of more than 1,100 articles from 1966 to 2006 was performed to identify studies of fetal death in the second or third trimester and neonatal death in the first month of life. METHODS OF STUDY SELECTION: Studies were limited to those that were in English, evaluated care in U.S. hospitals, and contained direct parent data or opinions. TABULATION, INTEGRATION, AND RESULTS: Results were compiled on five aspects of recommended care: 1) obtaining photographs and memorabilia of the deceased infant, 2) seeing and holding the infant, 3) labor and delivery of the child, 4) autopsies, and 5) options for funerals or memorial services. Sixty eligible studies with over 6,200 patients were reviewed. In general, parents reported appreciating time and contact with their deceased infant, being given options about labor, delivery, and burial, receiving photographs and memorabilia, and having appropriate hospital follow-up after autopsy. CONCLUSION: Although care after perinatal death often adheres to published guidelines, substantial room for improvement is apparent. Parents with perinatal losses report few choices during labor and delivery and inadequate communication about burial options and autopsy results. Hospitals, nurses, and doctors should increase parental choice about timing and location of delivery and postpartum care, encourage parental contact with the deceased infant, and facilitate provision of photos and memorabilia.
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Training programs or tested protocols for supporting parent bereavement after a stillbirth remain inconsistent and in need of further evaluation and development.
“training programs or tested protocols for supporting parent bereavement after a stillbirth remain inconsistent and in need of further evaluation and development [17-24]”
From Silent loss and the clinical encounter: Parents’ and physicians’ experiences of stillbirth–a qualitative analysis (2012) · cites this paper as [23]
A few parents and clinicians mentioned the use of grief kits and other programs to help parents bring meaning to their child's death, which have been adopted from neonatal and pediatric palliative care practices.
“A few parents and clinicians mentioned the use of grief kits and other programs to help parents bring meaning to their child’s death, which have been adopted from neonatal and pediatric palliative care practices [19-23].”
From Silent loss and the clinical encounter: Parents’ and physicians’ experiences of stillbirth–a qualitative analysis (2012) · cites this paper as [23]
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- Authors
- Gold, K. J., Dalton, V. K., & Schwenk, T. L.
- Affiliations
- University of Michigan (US)
- Venue
- Obstetrics & Gynecology
- Published
- 2007-05
- Volume
- 109
- Issue
- 5
- Pages
- 1156-1166
- ISSN
- 0029-7844 (ISSN-L)
- OpenAlex
- W2079612749
- Cited by
- 139
- References
- 64
- Citations by year
- 2026: 3 · 2025: 5 · 2024: 7 · 2023: 8 · 2022: 7 · 2021: 4 · 2020: 7 · 2019: 3 · 2018: 10 · 2017: 10 · 2016: 8 · 2015: 13 · 2014: 4 · 2013: 11 · 2012: 8
- FWCI
- 1.14
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Obstetrics and Gynecology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Grief, Bereavement, and Mental Health
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Infant Development and Preterm Care
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Global Maternal and Child Health
- Keywords
- perinatal death, parental experiences, hospital care, neonatal death, autopsy, postpartum care
- MeSH terms
- Adaptation, Psychological, Adult, Autopsy, Bereavement, Choice Behavior, Female, Fetal Death, Funeral Rites, Hospitalization, Humans, Infant Mortality, Infant, Newborn, Male, Parent-Child Relations, Parents, Patient Care Team, Photography, Pregnancy, Pregnancy Trimester, Second, Pregnancy Trimester, Third, Stillbirth
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