1/6. "The one thing you can never take away".This article describes one nurse's experience resulting from her interest in the value of giving bereavement photographs to parents who experience a perinatal loss. Three families were interviewed about the meaning of those photographs. The parents described deep feelings of the importance of the photographs, which provided the parents with unquestionable proof of their baby's existence. The information discovered through these interviews provides a basic look at how visual memories of the infant can help in the healing process. nurses are encouraged to standardize and personalize perinatal loss policies and procedures, to incorporate photography into these policies, and to conduct research to evaluate the effectiveness of this intervention.- - - - - - - - - - ranking = 1keywords = bereavement (Clic here for more details about this article) |
2/6. Perinatal bereavement support service: three-year review.Perinatal loss and grief have been recognized as a special form of loss in the last ten years. Perinatal death includes miscarriage, therapeutic abortion, stillbirth, and infant death shortly after birth. Acknowledgement of the death and support to mourn their loss by significant others promotes resolution of this bereavement. If perinatal bereavement is not resolved, one-quarter to one-third of mothers may go on to develop a clinical depression. A multidisciplinary Perinatal Support Service is in place at women's College Hospital to provide grief counselling to the mother and her family who have experienced a stillbirth or neonatal loss. The service has a direct link to the community through the public health Nurse on the obstetrical service. A review of three years reveals a high rate of referral by the attending physician and obstetrical nurse.- - - - - - - - - - ranking = 6keywords = bereavement (Clic here for more details about this article) |
3/6. Traumatic fetal death.Trauma during pregnancy increases the mortality risk to both victims: mother and child. The critical care nurse assumes a major role in assessing needs from both the trauma and obstetric perspectives. Collaboration between the critical care and obstetric nurse is essential to meet the complex physical, emotional, social, and spiritual needs of the entire family. A bereavement protocol can be helpful in suggesting specific interventions for long-term follow-up of the family suffering fetal loss.- - - - - - - - - - ranking = 1keywords = bereavement (Clic here for more details about this article) |
4/6. Predisposition to psychological complications after stillbirth: a case report.As many as one-third of women bereaved by stillbirth suffer psychological decompensation, and a similar proportion see the obstetric team as unsupportive. A case history is presented of a woman who suffered severe psychiatric illness after delivering a stillborn anencephalic infant. This paper discusses the powerful influence that the behavior of the obstetric team in the delivery room can exert on the long-term outcome of the crisis. This case highlights a number of practical aspects of the psychological management of bereavement by stillbirth.- - - - - - - - - - ranking = 1keywords = bereavement (Clic here for more details about this article) |
5/6. Immediate and unexplained fetal death during mid-trimester amniocentesis.Immediate and unexplained fetal death during mid-trimester amniocentesis for prenatal diagnosis was found to be an uncommon though real phenomenon. A survey of programmes in the united states detected 5 cases from 7524 at 4 centres. Postmortem examination was not helpful and a neurogenic mechanism is postulated. awareness of this phenomenon and routine pre- and post-amniocentesis ultrasound monitoring may clarify the actual prevalence and etiology.- - - - - - - - - - ranking = 0.00035010895298437keywords = programme (Clic here for more details about this article) |
6/6. The loss of a baby at birth: the role of the bereavement officer.OBJECTIVE: To illustrate and emphasise the role of the bereavement Officer in the management of perinatal death, as recommended and envisaged by a report of the Royal College of Obstetricians and Gynaecologists in 1985. DESIGN: A description of the training and responsibilities of the officer and an account of her involvement with all perinatal deaths within a given period. SETTING: Perinatal deaths in the 12 months, 1 October 1989 to 30 September 1990 from a regional neonatal intensive care unit within a maternity hospital. SUBJECTS: A total of 59 registerable deaths, three late terminations (severe fetal abnormality) and 12 late mid-trimester miscarriages were dealt with by the bereavement Officer in this 12 month period. RESULTS: The introduction of this service to our unit has led to an improvement in our management of both perinatal and fetal deaths. CONCLUSION: The service has justified fully the recommendations made by the Royal College of Obstetricians and Gynaecologists. Reducing parents' distress will facilitate their grieving and any subsequent bereavement counselling.- - - - - - - - - - ranking = 5keywords = bereavement (Clic here for more details about this article) |