Cited by 18Grief, Bereavement, and Mental HealthGlobal Maternal and Child HealthMaternal and Neonatal Healthcare

Mothers’ access to supportive hospital services after the loss of a baby through stillbirth or neonatal death

Open access
Conry, J, Prinsloo, C·2008·Health SA Gesondheid

Abstract

Every year, 3-5% of pregnant mothers in South Africa lose their babies to a stillbirth or neonatal death. These mothers need adequate services to prevent complications in their grieving process. Most of these babies are lost in hospital settings, so the treatment medical staff provide is vital. This study examined mothers’ experiences of accessing hospital, religious, formal and social services after a stillbirth or neonatal death. An exploratory research design was used to conduct applied research. A semi-structured interview schedule was used with a sample of 15 mothers who had lost a baby in the last 5 years. The findings were analysed quantitatively and qualitatively. The primary focus of this article is the quantitative findings relating to hospital services. The sample was small and these results cannot be generalised, but some conclusions are reached and recommendations are made to service providers in hospitals working with mothers who have lost babies. Mothers generally experienced the support services from hospitals as inadequate, compared to what hospitals could offer. Mothers that receive support after the loss of a baby generally cope better. This support thus assists them in the grieving process. Hospital staff can be trained to provide these services. Opsomming In Suid-Afrika verloor 3-5% swanger moeders hulle babas deur stilgeboorte of neonatale dood. Hierdie moeders benodig voldoende dienste om komplikasies in die rouproses te verhoed. Die behandeling deur mediese personeel is uiters belangrik omdat die meeste van dié babas in ‘n hospitaalopset sterf. Hierdie studie het moeders se ervarings van die toeganklikheid van hospitaal-, godsdienstige, formele en sosiale dienste na die dood van hulle babas deur stilgeboorte of neonatale dood ondersoek. Toegepaste navorsing is met behulp van ‘n verkennende navorsingsontwerp gedoen. ‘n Semi-gestruktureerde onderhoudskedule is gebruik met ‘n steekproef van 15 moeders wat hulle babas in die vorige 5 jaar verloor het. Die bevindinge is kwantitatief en kwalitatief ontleed. Hierdie artikel fokus primêr op die kwantitatiewe bevindinge wat op hospitaaldienste van toepassing is. Die steekproef was klein en bevindinge kan nie veralgemeen word nie, maar gevolgtrekkings en aanbevelings word gemaak vir diensverskaffers in hospitale wat met moeders werk wat hul babas verloor het. Respondente het die ondersteuningsdienste by hospitale oor die algemeen as onvoldoende ervaar in vergelyking met dít wat hospitale behoort aan te bied. Moeders wat wel ondersteuning na die verlies van ‘n baba ontvang, funksioneer oor die algemeen beter. Die ondersteuning help hulle in die rouproses. Hospitaalpersoneel kan opgelei word om hierdie dienste te verskaf.

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Crossref · 10.4102/hsag.v13i2.276

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  • Clear, easily understandable and structured information given sensitively at appropriate times helps parents through their experience (FES 45%).

    “Clear, easily understandable and structured information given sensitively at appropriate times, helps parents through their experience, FES 45 % [21, 31, 32, 34, 36, 37, 39–42, 44–51]”

    From Systematic review to understand and improve care after stillbirth: a review of parents’ and healthcare professionals’ experiences (2016) · cites this paper as [31]

    In “Hospital services” (page not provided), the paper recommends accurate information about the cause of death and says ongoing communication enhances parents’ wellbeing. “Suggestions for improving services” calls for clarifying information and a structured procedure for supporting bereaved mothers, but does not specifically describe structured information delivered at appropriate times or report an FES of 45%. (LLM, conf=0.84)

    Experimental — accuracy not yet measured
  • Parents want privacy not abandonment (FES 30%).

    “Parents want privacy not abandonment, FES 30 % [21, 31, 33–35, 37, 39, 41, 42, 46, 47, 51]”

    From Systematic review to understand and improve care after stillbirth: a review of parents’ and healthcare professionals’ experiences (2016) · cites this paper as [31]

    The Hospital services section (page not specified) says all 15 mothers had their own rooms, while the Formal services section reports that 11 of 15 wanted an opportunity to see a hospital counsellor. Together these support privacy alongside continued support, but the paper does not report that parents explicitly wanted “privacy not abandonment” or a 30% FES. (LLM, conf=0.84)

    Experimental — accuracy not yet measured
  • Research and multiprofessional training is important for all staff to improve standards of bereavement care (FES 25%).

    “Research and multiprofessional training is important for all staff to improve standards of bereavement care, FES 25 % [31, 35, 37, 38, 40, 52–56]”

    From Systematic review to understand and improve care after stillbirth: a review of parents’ and healthcare professionals’ experiences (2016) · cites this paper as [31]

    The Conclusions and Recommendations section calls for better training for hospital staff, including all staff members involved with a bereaved mother. The Conclusion also calls for larger studies evaluating hospital services. The paper does not specify multiprofessional training or report an FES figure of 25%. (LLM, conf=0.86)

    Experimental — accuracy not yet measured
  • Parents wish for increased awareness and acknowledgement of stillbirth (FES 20%).

    “Parents wish for increased awareness and acknowledgement of stillbirth, FES 20 % [21, 31, 37, 38, 47, 50, 57, 58]”

    From Systematic review to understand and improve care after stillbirth: a review of parents’ and healthcare professionals’ experiences (2016) · cites this paper as [31]

    The ‘Services available to mothers after the death of a baby’ section calls for greater awareness of bereaved mothers’ needs and recognition of the significance of a baby’s death. It does not report that parents expressed this wish or associate the stated 20% with awareness or acknowledgement; the 20% figures in ‘Suggestions for improving services’ concern other requests. The indexed passages provide no page numbers. (LLM, conf=0.82)

    Experimental — accuracy not yet measured
  • Some mothers who were sedated held regrets about the lost opportunity to be with their baby.

    “Some mothers who were sedated held regrets about the lost opportunity to be with their baby.”

    From Systematic review to understand and improve care after stillbirth: a review of parents’ and healthcare professionals’ experiences (2016) · cites this paper as [31]

    The Hospital services section reports that many mothers regretted not being able to hold their babies for longer. The Formal services section describes one mother who could not remember a counselling session because of medication, but it does not link medication or sedation to a lost opportunity to be with her baby. (LLM, conf=0.85)

    Experimental — accuracy not yet measured

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References 26 · Cited by 18

Research works printed but not linked: 15

  1. BABBIE, E & MOUTON, J 2001: The practice of social research. Oxford: Oxford University Press.
  2. BLESS, C; HIGSON-SMITH, C & KAGEE, A 2006: Fundamentals of social research methods. An African perspective; 4 th edition. Cape Town: Juta.
  3. COOK, AS & OLTJENBRUNS, KA 1998: Dying and grieving: Life span perspectives; 2 nd edition. Orlando: Harcourt Brace.
  4. CURRER, C 2001: Responding to grief: Dying, bereavement and social care. New York: Palgrave.
  5. DE VOS, AS 2002: Combined quantitative and qualitative approach. (In: De Vos, AS; Strydom, H; Fouché, CB & Delport, CSL eds. 2005: Research at grass roots: For the social sciences and human service professions; 3 rd edition. Pretoria: Van Schaik, pp 363- 372).
  6. DE VOS, AS 2005: Qualitative data analysis and interpretation. (In: De Vos, AS; Strydom, H; Fouché, CB & Delport, CSL eds. 2005: Research at grass roots: For the social sciences and human service professions; 3 rd edition. Pretoria: Van Schaik, pp 333- 349).
  7. FOUCHÉ, CB & DE VOS, AS 2005: Quantitative research designs. (In: De Vos, AS; Strydom, H; Fouché, CB & Delport, CSL eds. 2005: Research at grass roots: For the social sciences and human service professions; 3 rd edition. Pretoria: Van Schaik, pp 132- 143).
  8. MCGOLDRICK, M & WALSH, F 2005: Death and the family life cycle. (In: Carter, B & McGoldrick, M eds. 2005: The expanded family life cycle. Individual, family and social perspectives; 3 rd edition. Boston: Pearson, pp 185-201).
  9. MILO, EM 1997: Maternal responses to the life and death of a child with a developmental disability: A story of hope. Death Studies, 21(5):443-476.
  10. RICHES, G & DAWSON, P 2000: An intimate loneliness: Supporting bereaved parents and siblings. Buckingham: Open University Press.
  11. RUBIN, A & BABBIE, E 2001: Research methods for social work; 4 th edition. Belmont, CA: Wadsworth.
  12. RYAN, A 2000: A silent love: Personal stories of coming to terms with miscarriage. Harmondsworth: Penguin.
  13. SALKIND, NJ 2006: Exploring research; 6 th edition. New Jersey: Pearson.
  14. SCHIFF, HS 1979: The bereaved parent. London: Souvenir Press.
  15. Strydom, H; Fouché, CB & Delport, CSL eds. 2005: Research at grass roots: For the social sciences and human service professions; 3 rd edition. Pretoria: Van Schaik, pp 62-76).

Authors
Conry, J., & Prinsloo, C.
Affiliations
University of Pretoria (ZA)
Venue
Health SA Gesondheid
Publisher
AOSIS
Published
2008-11-18
Volume
13
Issue
2
Pages
14-24
ISSN
  • 1025-9848 (ISSN-L)
  • 2071-9736
OpenAlex
W2149481464
Cited by
18
References
26
Citations by year
2025: 1 · 2024: 2 · 2022: 1 · 2019: 1 · 2018: 1 · 2017: 1 · 2016: 2 · 2015: 6 · 2014: 2 · 2013: 1
FWCI
0.00
Type
journal article
Language
en
Open access
Locations
  • Health SA Gesondheid (publishedVersion, cc-by)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
  • UpSpace Institutional Repository (University of Pretoria) (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 › Health Professions › General Health Professions › Maternal and Neonatal Healthcare
Keywords
stillbirth, neonatal death, maternal bereavement, grief, hospital support, maternal mental health, hospital staff training, religious support, social support, coping, South Africa, maternal mental health services

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