Experiences of Obstetric Nurses Who Are Present for a Perinatal Loss
Abstract
Objective To discover the impact of perinatal loss on obstetric nurses.Design In the parent study, obstetric nurses were provided with an open-ended statement asking them to describe in writing the experience of being present during a traumatic childbirth. For this study, a secondary qualitative analysis was performed on those cases in which a perinatal loss was described as traumatic to answer new research questions.Participants A total of 464 cases were included in the parent study; 150 cases included either fetal or infant death. Of those, 91 cases had rich descriptions that we analyzed for this study.Methods The data were analyzed using Krippendorff's (2013) method for qualitative content analysis. Responses were clustered to allow themes to emerge. Nurses' experiences of fetal and infant loss were analyzed individually and then compared and contrasted for overarching themes.Results Six themes emerged from the fetal and infant loss experiences, with the final overarching themes from perinatal loss including getting through the shift, symptoms of pain and loss, frustrations with inadequate care, showing genuine care, recovering from traumatic experience, and never forgetting.Conclusion Perinatal loss can have a lasting effect on nurses, and thus continued support may be needed.
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Staff want improved training and a supportive working environment (FES 57%).
“Staff want improved training and a supportive working environment, FES 57 % [19, 20, 25, 37, 70, 74–76]”
From Systematic review to understand and improve care after stillbirth: a review of parents’ and healthcare professionals’ experiences (2016) · cites this paper as [74]
Caring for bereaved parents can be rewarding for staff (FES 29%).
“Caring for bereaved parents can be rewarding for staff, FES 29 % [20, 67, 70, 74]”
From Systematic review to understand and improve care after stillbirth: a review of parents’ and healthcare professionals’ experiences (2016) · cites this paper as [74]
Emotional support and acknowledging the birth and death of a baby is an important part of bereavement care (FES 43%).
“Emotional support and acknowledging the birth and death of a baby is an important part of bereavement care, FES 43 % [20, 37, 67, 70, 73, 74]”
From Systematic review to understand and improve care after stillbirth: a review of parents’ and healthcare professionals’ experiences (2016) · cites this paper as [74]
Continuity of care is important to staff (FES 36%).
“Continuity of care is important to staff, FES 36 % [20, 68, 70, 73, 74]”
From Systematic review to understand and improve care after stillbirth: a review of parents’ and healthcare professionals’ experiences (2016) · cites this paper as [74]
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- Authors
- Puia, D. M., Lewis, L., & Beck, C. T.
- Affiliations
- University of Connecticut (US)
- Venue
- Journal of Obstetric, Gynecologic & Neonatal Nursing
- Publisher
- Elsevier BV
- Published
- 2013-05
- Volume
- 42
- Issue
- 3
- Pages
- 321-331
- ISSN
- 0090-0311 (ISSN-L)
- 0884-2175
- OpenAlex
- W1546480527
- Cited by
- 65
- References
- 29
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 5 · 2023: 7 · 2022: 5 · 2021: 4 · 2020: 10 · 2019: 2 · 2018: 10 · 2017: 5 · 2016: 8 · 2015: 1 · 2014: 2 · 2013: 1
- FWCI
- 4.44
- 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 › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative and Oncologic Care
- Keywords
- perinatal loss, obstetric nurses, nurses' experiences, fetal death, infant death, traumatic birth, grief, emotional impact on nurses, inadequate care, nursing support, coping with loss
- MeSH terms
- Adaptation, Psychological, Attitude to Death, Bereavement, Female, Humans, Infant, Newborn, Intensive Care Units, Nurse-Patient Relations, Obstetric Nursing, Pregnancy, Surveys and Questionnaires, Social Support, Terminal Care, Nurse's Role
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