Cited by 128Grief, Bereavement, and Mental HealthGlobal Maternal and Child HealthPalliative Care and End-of-Life Issues

The impact of stillbirth on bereaved parents: A qualitative study

Open access
Nuzum, Daniel, Meaney, Sarah, O’Donoghue, Keelin·2018·PLoS ONE

Abstract

PURPOSE: To explore the lived experiences and personal impact of stillbirth on bereaved parents. METHODS: Semi-structured in-depth interviews analysed by Interpretative Phenomenological Analysis (IPA) on a purposive sample of parents of twelve babies born following fetal death at a tertiary university maternity hospital in Ireland with a birth rate of c8,500 per annum and a stillbirth rate of 4.6/1000. RESULTS: Stillbirth had a profound and enduring impact on bereaved parents. Four superordinate themes relating to the human impact of stillbirth emerged from the data: maintaining hope, importance of the personhood of the baby, protective care and relationships (personal and professional). Bereaved parents recalled in vivid detail their experiences of care following diagnosis of stillbirth and their subsequent care. The time between diagnosis of a life-limiting anomaly or stillbirth and delivery is highlighted as important for parents as they find meaning in their loss. CONCLUSIONS: The impact of stillbirth on bereaved parents is immense and how parents are cared for is recalled in precise detail as they revisit their experience. Building on existing literature, these data bring to light the depth of personal experience and impact of stillbirth for parents and provides medical professionals with valuable insights to inform their care of bereaved parents and the importance of clear and sensitive communication.

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Crossref · 10.1371/journal.pone.0191635

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  • Parents in this survey placed an emphasis on making memories as part of the hospital experience and expressed regret at not making memories or wished they would have made more memories.

    “Clearly, the parents in this survey, as with parents in other studies [e.g., (10, 15, 19, 26, 27)], placed an emphasis on making memories as part of the hospital experience and have expressed regret at not making memories or wished they would have made more memories (28, 29).”

    From Parent hospital experiences following stillbirth (2026) · cites this paper as [28]

    In Results, Theme 3 (Protective care; page unavailable), some parents regretted missed opportunities to parent their baby. Results, Theme 4 (Relationships; page unavailable), says parents valued creating memories before their baby’s death. The paper does not specifically say they regretted failing to make memories, or wished they had made more memories during the hospital experience. (LLM, conf=0.82)

    Experimental — accuracy not yet measured
  • Some parents want communication about their baby's appearance after birth.

    “While this is a difficult conversation to have, some parents want communication about their baby’s appearance after birth (19, 28).”

    From Parent hospital experiences following stillbirth (2026) · cites this paper as [28]

    In Results, Theme 3 (Protective care), parents expressed fear about what their baby might look like. Results, Theme 4 (Relationships), emphasizes communication with staff, but neither passage says parents wanted staff to discuss the baby's appearance after birth. (LLM, conf=0.77)

    Experimental — accuracy not yet measured
  • Parents interviewed in Nuzum et al. (25) also briefly mentioned being worried about what their baby may look like.

    “Parents interviewed in Nuzum et al. (25), also briefly mentioned being worried about what their baby may look like.”

    From Parent-to-parent advice before the birth of a stillborn baby (2025) · cites this paper as [25]

  • Healthcare professionals left a lasting impression on parents during a stillbirth experience in either positive or negative ways.

    “Since most parents in this study did not have the support of someone who has experienced a stillbirth and parents have indicated that healthcare professionals left a lasting impression on them during a stillbirth experience in either positive or negative ways (28), working with a trained healthcare professional who can provide bereavement guidance becomes more important.”

    From Parent hospital experiences following stillbirth (2026) · cites this paper as [28]

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1 of the 34 references couldn’t be matched to a known paper.

Research works printed but not linked: 2

  1. [19]O’Connell O, Meaney S, O’Donoghue K. Caring for parents at the time of stillbirth: How can we do better?". Women & health. 2015. 26916147
  2. [29]O’Connell O, Nuzum D, Meaney S, O’Donoghue K. Incompatible with Life but Not with Love: The Value of Prenatal Palliative Care in Cases of Lethal Abnormalities Diagnosed in the Prenatal Period. Journal of palliative care. 2014; 30(3): 219-.

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Authors
Nuzum, D., Meaney, S., & O’Donoghue, K.
Affiliations
University College Cork (IE)
Corresponding author
Nuzum, Daniel
Venue
PLoS ONE
Published
2018-01-24
Volume
13
Issue
1
Pages
e0191635
ISSN
1932-6203 (ISSN-L)
OpenAlex
W2785158232
Cited by
127
References
34
Citations by year
2026: 10 · 2025: 16 · 2024: 19 · 2023: 18 · 2022: 17 · 2021: 19 · 2020: 13 · 2019: 11 · 2018: 4
FWCI
13.73
Type
journal article
Language
en
Open access
Locations
  • PLoS ONE (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • RePEc: Research Papers in Economics (submittedVersion)
  • Arrow@dit (Dublin Institute of Technology) (submittedVersion, cc-by)
  • Cork Open Research Archive (University College Cork, Ireland) (submittedVersion, cc-by)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
  • Lenus, The Irish Health Repository (Dr Steevens Hospital Library) (submittedVersion)
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 › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
Keywords
stillbirth, bereaved parents, lived experience, parental grief, fetal death, hope, protective care, professional relationships, sensitive communication, perinatal loss
MeSH terms
Bereavement, Humans, Parents, Qualitative Research, Stillbirth

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