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The Silent Child—Mothers’ Experiences Before, During, and after Stillbirth
Open accessAbstract
Abstract: Background: The quality of care received by a woman who gives birth to a dead baby is crucial for her long‐term well‐being, and limiting the period between diagnosis of intrauterine death and induction of delivery decreases her anxiety risk. The primary objective of this study was to explore why induction of delivery for most women should not be delayed more than 24 hours from the diagnosis of intrauterine death. A secondary objective was to determine how the time between diagnosis and delivery should be spent. Methods: Twelve women were interviewed about their experience before and during the diagnosis of their baby's death and the event of birth. Interviews took place 6 to 18 months after the delivery and were analyzed using a phenomenological methodology. Results: Women experienced premonition, difficulty communicating their worry, cessation of verbal communication with staff, unreality and numbing, desire to get rid of the dead child immediately, going through childbirth, and total silence. Many women believed that they were not respected as a human being during the process of diagnosing the intrauterine death. Themes emerged indicating caregivers should not reduce to zero the time between diagnosis of intrauterine death and induction of delivery. Time may be needed to obtain medical information about the delivery and to prepare the woman for meeting with and saying goodbye to her long‐awaited but now silent baby. Conclusion: The period between diagnosis of intrauterine death and induction of delivery may give health professionals a major opportunity to improve a woman's ability to cope with the event of stillbirth and prepare her to meet with her loved but now silent baby. Further clinical research can identify supportive mechanisms for parents, and sources of iatrogenic psychological trauma that should be eliminated.
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“Support and information from staff may help parents who feel emotionally unprepared for a vaginal birth, FES 23 % [21, 32, 33, 37, 46–48, 51, 58]”
From Systematic review to understand and improve care after stillbirth: a review of parents’ and healthcare professionals’ experiences (2016) · cites this paper as [48]
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“Continuity of care and carer is important to parents, FES 15 % [34, 37, 40, 41, 46, 48]”
From Systematic review to understand and improve care after stillbirth: a review of parents’ and healthcare professionals’ experiences (2016) · cites this paper as [48]
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
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“Parents have a range of emotions and reactions because stillbirth is a life changing event, FES 18 % [33, 36, 37, 46–48]”
From Systematic review to understand and improve care after stillbirth: a review of parents’ and healthcare professionals’ experiences (2016) · cites this paper as [48]
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“Previous qualitative research has investigated the experience of induction of labour, the role of caregivers and the experiences of women accessing bereavement support after stillbirth.16–18”
From Bereaved parents’ experience of stillbirth in UK hospitals: a qualitative interview study (2013) · cites this paper as [17]
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“Many parents suspected something was wrong with their baby prior to presentation and described how their symptoms were not always taken seriously by healthcare professionals.”
From Systematic review to understand and improve care after stillbirth: a review of parents’ and healthcare professionals’ experiences (2016) · cites this paper as [48]
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“Parents with a baby who died in-utero may feel that their care is not appropriately prioritised by staff, FES 5 % [39, 48]”
From Systematic review to understand and improve care after stillbirth: a review of parents’ and healthcare professionals’ experiences (2016) · cites this paper as [48]
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Metadata
- Authors
- Trulsson, O., & Rådestad, I.
- Affiliations
- Oslo University Hospital (NO)
- Venue
- Birth
- Publisher
- Wiley
- Published
- 2004-08-27
- Volume
- 31
- Issue
- 3
- Pages
- 189-195
- ISSN
- 0730-7659 (ISSN-L)
- 1523-536X
- OpenAlex
- W2033608754
- Cited by
- 110
- References
- 18
- Citations by year
- 2025: 4 · 2024: 3 · 2023: 6 · 2022: 1 · 2021: 2 · 2020: 5 · 2019: 5 · 2018: 3 · 2017: 5 · 2016: 7 · 2015: 11 · 2014: 7 · 2013: 10 · 2012: 5
- FWCI
- 3.65
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Birth (publishedVersion)
- PubMed (publishedVersion)
- 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, intrauterine fetal death, labor induction, maternal experience, maternal grief, psychological trauma, caregiver-patient communication, delivery time, maternal well-being
- MeSH terms
- Adaptation, Psychological, Communication, Female, Fetal Death, Humans, Interprofessional Relations, Interviews as Topic, Labor, Induced, Norway, Pregnancy, Social Support, Time Factors
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