Grief reactions of couples to perinatal loss: A one‐year prospective follow‐up

Tseng, Ying‐Fen; Cheng, Hsiu‐Rong; Chen, Yu‐Ping; Yang, Shu‐Fei; Cheng, Pi‐Tzu

doi:10.1111/jocn.14059

Cited by 73Grief, Bereavement, and Mental HealthMaternal and Neonatal HealthcareGlobal Maternal and Child Health

Grief reactions of couples to perinatal loss: A one‐year prospective follow‐up

Tseng, Ying‐Fen, Cheng, Hsiu‐Rong, Chen, Yu‐Ping, Yang, Shu‐Fei, Cheng, Pi‐Tzu·2017·Journal of Clinical Nursing

DOI 10.1111/jocn.14059

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Abstract

Aims and objectives: To explore couples’ perceptions of the effects of perinatal loss on their marital relationship, social support and grief 1 year postloss, and analyse what factors changed the severity of their grief. Background: Perinatal losses are traumatic events in the lives of families and can have serious long‐term consequences for the psychological health of parents and any subsequent children. Design: A prospective follow‐up study. Methods: We recruited, at a teaching hospital in southern Taiwan, a convenience sample of 30 couples whose babies either miscarried or were stillborn. At 1 month (T1), 3 months (T2), 6 months (T3) and 1 year (T4) after the pregnancy loss, all participants completed four questionnaires. To analyse the changing status of their grief and its related factors, we used a generalised estimating equation (GEE) to account for correlations between repeated observations. Results: Postbereavement grief levels fell over the four time‐points. Mothers reported feeling more grief than did the fathers. Couples with a history of infertility, no religious beliefs or no living children before the loss felt more grief from a perinatal miscarriage or stillbirth. Furthermore, couples reported more grief if their marital satisfaction level was low, if their socioemotional support from husband's parents was low or if they had never participated in a ritual for their deceased baby. Conclusions: Six months postloss is the crucial period for bereaved parents after a perinatal loss. Being a mother, having no previous living children and low‐level socioemotional support from the husband's parents are significant high‐risk factors for a high level of grief 1 year after perinatal death. Relevance to clinical practice: We recommend that health professionals increase their ability to identify the factors that psychologically affect postloss grief. Active postloss follow‐up programmes should focus on these factors to offer specific support and counselling.

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The consequences of perinatal loss can impact not only the mother's health but also the overall functioning of the entire family, including potential separation from the spouse, marital conflicts, and feelings of fear, guilt, and anxiety in children.
“These consequences can impact not only the mother’s health but also the overall functioning of the entire family, including potential separation from the spouse, marital conflicts, 32 and feelings of fear, guilt, and anxiety in children. 33”
From Desired Care for Perinatal Bereavement: Meeting the Needs of Mothers After Discharge From the Hospital—a Qualitative Study (2024) · cites this paper as [32]

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“These consequences can impact not only the mother’s health but also the overall functioning of the entire family, including potential separation from the spouse, marital conflicts, 32 and feelings of fear, guilt, and anxiety in children.”
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Authors: Tseng, Y., Cheng, H., Chen, Y., Yang, S., & Cheng, P.
Affiliations: Chung Hwa University of Medical Technology (TW)
National University of Tainan (TW)
Western Sydney University (AU)
Chia-Yi Christian Hospital (TW)
Corresponding author: Tseng, Ying‐Fen
ORCID: Tseng, Ying‐Fen
Chen, Yu‐Ping
Yang, Shu‐Fei
Venue: Journal of Clinical Nursing
Publisher: Wiley
Published: 2017-10-06
Volume: 26
Issue: 23-24
Pages: 5133-5142
ISSN: 0962-1067 (ISSN-L)
1365-2702
DOI: 10.1111/jocn.14059
OpenAlex: W2751257793
Cited by: 73
References: 53
Citations by year: 2026: 5 · 2025: 10 · 2024: 11 · 2023: 9 · 2022: 12 · 2021: 13 · 2020: 6 · 2019: 4 · 2018: 3
FWCI: 4.41
Type: journal article
Language: en
Open access: closed
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations: Journal of Clinical Nursing (publishedVersion)
PubMed (publishedVersion)
Funders: Ministry of Science and Technology, Taiwan (NSC‐96‐2314‐B‐273‐003)
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 › Pediatrics, Perinatology and Child Health › Global Maternal and Child Health
Keywords: perinatal loss, grief, couples, miscarriage, stillbirth, marital relationships, social support, socioemotional support, infertility, religious beliefs, parental bereavement, grief severity
MeSH terms: Abortion, Spontaneous, Adult, Female, Follow-Up Studies, Grief, Humans, Male, Middle Aged, Parents, Pregnancy, Prospective Studies, Surveys and Questionnaires, Risk Factors, Social Support, Taiwan, Time Factors, Spouses, Stillbirth, Young Adult

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Grief reactions of couples to perinatal loss: A one‐year prospective follow‐up

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