Professional approach to the care of women who have suffered a perinatal loss
Open accessAbstract
To understand the experience, training, and needs of midwives in their approach to perinatal grief. A descriptive cross-sectional study was carried out using an online questionnaire with 26 questions related to institutional management and individual clinical practices in the care of a perinatal loss was developed by a team of midwives from the Hospital "La Mancha-Centro" of Alcazar de San Juan (Ciudad Real). Strobe checklist was followed. A total of 267 midwives participated. A total of 92.1% (246) of the centers had specific protocols for action, but each professional applied their own criteria. The presence of a perinatal psychology team was nonexistent according to 88% (235) of those surveyed. Regarding their training and professional experience, 16.5% (44) of the midwives had never received training. Only 4.1% (11) of the midwives felt very prepared to care for women with a perinatal loss. Among the factors associated with greater application of recommended practices in the face of perinatal death by midwives were being a woman, having prior training on care during perinatal death, and a greater perception of preparation (p < 0.05). The perception of lack of preparation on the part of midwives in the accompaniment of these families was high.
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Few professionals report feeling prepared to offer adequate support, revealing the absence of specific protocols and the fragmentation of follow-up care.
“As observed in the literature, few professionals report feeling prepared to offer adequate support, revealing the absence of specific protocols and the fragmentation of follow-up care (49).”
From Experiences and long-term repercussions of perinatal grief in women after perinatal bereavement: a meta-ethnography (2025) · cites this paper as [49]
The Discussion reports that 53.9% of surveyed midwives did not feel adequately trained, and only 19.9% said a perinatal loss was communicated to primary care, supporting concerns about preparation and continuity of care. But it says most centers had specific protocols: 92.1% reported having one, although professionals applied their own criteria. The claim’s assertion that protocols were absent is therefore not supported. (LLM, conf=0.88)
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- Authors
- Rubio‐Alvarez, A., Jiménez‐Ramos, C., Bravo‐Vaquero, C., Pulgarín‐Pulgarín, B., Rodríguez‐Almagro, J., & Hernández‐Martínez, A.
- Affiliations
- Department of Obstetrics & Gynaecology Hospital Universitario de Torrejón Madrid Spain
- Hospital General de Tomelloso (ES)
- Department of Obstetrics & Gynaecology Gerencia de Atencion Primaria Alcázar de San Juan Alcázar de San Juan, Ciudad Real Spain
- Madrid Health Service (ES)
- University of Castilla-La Mancha (ES)
- Corresponding author
- Rodríguez‐Almagro, Julián
- Venue
- Nursing & Health Sciences
- Publisher
- Wiley
- Published
- 2024-04-02
- Volume
- 26
- Issue
- 2
- Pages
- e13116-e13116
- ISSN
- 1441-0745 (ISSN-L)
- 1442-2018
- OpenAlex
- W4393866299
- Cited by
- 6
- References
- 24
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 1
- FWCI
- 2.99
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Nursing and Health Sciences (publishedVersion, cc-by)
- PubMed (publishedVersion)
- RUIdeRA - Institutional University Repository (University of Castilla-La Mancha) (submittedVersion, other-oa)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Grief, Bereavement, and Mental Health
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative and Oncologic Care
- Health Sciences › Health Professions › General Health Professions › Maternal and Neonatal Healthcare
- Keywords
- perinatal loss, perinatal grief, midwives, midwifery education, perinatal death, institutional protocols, perinatal psychology, professional preparedness, family support
- MeSH terms
- Anxiety, Child, Cross-Sectional Studies, Female, Humans, Infant, Newborn, Midwifery, Pregnancy, Surveys and Questionnaires, Perinatal Care, Perinatal Death
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