Abstract
The perinatal mortality rate for England and Wales in 1988 was 8.7 for every 1000 live and stillbirths (OPCS 1988). The risk of perinatal death is higher for multiple births (McMullan 1986) and for babies in neonatal units (HC 1980). Parents who have decided on a therapeutic abortion have a painful path to tread and they too will need support in their loss, as will parents who suffer a spontaneous abortion. A midwife should be prepared therefore to help those parents who have lost their baby, either through neonatal death, stillbirth or abortion. The handicapped baby may also precipitate a sense of loss because the imagined ‘perfect child’ (Gardner 1986) will not materialise. In some instances, the mother may go home while her handicapped, sick or premature baby remains behind in the neonatal unit. The longed for perfect child is mourned while parents try to care for and love the defective baby for which they were not prepared. Their contact with the child does help to make him a ‘real person’. Mourning is generally found to be easier when there is a recognised focus for grief (Newman 1984), so that when death does occur the grieving process may be managed to give more effective resolution.
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References
Adams M 1987 Deliveries — mothers or midwives — a study of communication styles in midwifery. MSc Dissertation (unpublished), University of Surrey
Alexander J 1984 Miscarriage: a cause for care. Primary Health Care 2(10): 8–9
Bourne S, Lewis E 1984 Pregnancy after stillbirth or neonatal death: psychological risks and management. Lancet ii: 31–3
Butler N 1969 Perinatal problems. Churchill Livingstone, Edinburgh
Butler N, Bonham A 1963 Perinatal mortality survey. Churchill Livingstone, Edinburgh
Culberg J 1972 Mental reactions of women to perinatal death in psychosomatic medicine. In Obstetrics and gynaecology: proceedings of the third international congress. Karger, Basel, London
Engel G 1962 Psychological disorders in health and disease. W B Saunders, Philadelphia
Forrest G C, Standish E, Baum J D 1982 Support after perinatal death: a study of support and counselling after perinatal bereavement. British Medical Journal 285: 1475–79
Gardner S, Morenstein G 1986 Perinatal grief and loss: an overview. Neonatal Network, October
Gibbons M 1984 Psychiatric sequelae of induced abortion. Journal of the Royal College of General Practitioners 34: 146–50
Giles P 1970 Reactions of women to perinatal death. Australia/New Zealand Journal of Obstetrics and Gynaecology 10: 207–10
Gohlish C 1985 Stillbirth. Midwife, Health Visitor and Community Nurse 21(1): 12–16
Goodall J 1984 Notes for parents who have lost a child. Maternal and Child Health 1984 (April): 120–2
Health Education Bureau and SANDS A little lifetime. A booklet for parents whose babies have died around the time of birth. Health Education Bureau and SANDS, Ireland
Hill S 1989 Family. Michael Joseph, London
House of Commons Social Services Committee (HC) 1980 Report on perinatal and neonatal mortality (Short Report). HMSO, London
Hughes P 1987 The management of bereaved mothers: what is best? Midwives Chronicle 100(1195): 226–29
Hutti M E 1988 A quick reference table of interventions to assist families to cope with pregnancy loss or neonatal death. Birth 15(1): 33–5
Kennell J H, Slyter H, Klaus M 1970 The mourning response of parents to the death of a newborn infant. New England Journal of Medicine 283: 344–49
Kenyon S 1988 Support after termination for fetal abnormality. Midwives Chronicle 101(1205): 190–91
Kohner N 1985 Midwives and stillbirth. RCM/HEC Workshop. RCM, London
Kubler-Ross E 1970 On death and dying. Tavistock Publications, London
Kumar R, Robson K 1978 Neurotic disturbance during pregnancy and the Puerperium. In Sandler M (ed) Mental illness in pregnancy and the Puerperium. Oxford University Press, Oxford
Lake M, Knuppel R, Murphy J, Johnson T 1983 The role of a grief support team following stillbirth. American Journal of Obstetrics and Gynecology 146(8): 877–81
Lewis E, Bryan E M 1988 Management of perinatal loss of twins. British Medical Journal 297: 1321 (M) 1613 (C)
Lindman E 1944 Symptomatology and management of acute grief. American Journal of Psychiatry 101: 141–48
Maternity Services Advisory Committee 1985 Maternity care in action, Part III. Care of the mother and baby. HMSO, London
McMullan P 1986 Twin pregnancy. British Journal for Nurses in Child Health 1(9): 264–65
Methven R C 1982 An examination of the process and content of the ante-natal booking interview. Unpublished MSc thesis, University of Manchester
Moore A 1987 Forgotten women. Midwives Chronicle 100(1195): 242
Nash K 1987 It’s still a baby. Midwives Chronicle 100(1192): 123–25
Neustatter A, Newson G 1986 Mixed feelings: the experience of abortion. Pluto Press, London
Newman A 1984 Coping with grief. Nursing Times 81(6): 32–4
Oakley A, McPherson A, Roberts H 1990 Miscarriage. Fontana, London
Office of Population Censuses and Surveys 1988 Birth statistics for England and Wales. OPCS, London
Parkes C M 1972 Bereavement: studies of grief in adult life. Penguin Books, Harmondsworth
Parkes C M 1980 Bereavement counselling: does it work? British Medical Journal 281: 3–6
Paykel E S, Emms E, Fletcher J, Rassaby E S 1980 Life events and social support in puerperal depression. British Journal of Psychiatry 136: 339–46
Penson J 1990 Bereavement — a guide for nurses. Harper and Row, London
Pepper L G, Knapp R J 1980 Motherhood and mourning. Praeger, New York
Roch S 1987 Sharing the grief. Nursing Times 83(14): 52–3
Rice M 1982 Bereavement counselling: support available for the bereaved. Unpublished report of study leave. In RCM library
Tom-Johnson C 1990 Talking through grief. Nursing Times 86(1): 44
Tschudin V 1987 Counselling skills for nurses (2nd ed). Baillière Tindall, London
United Kingdom Central Council 1989 A Midwife’s Code of Practice for midwives practising in the United Kingdom, 2nd ed. UKCC, London
Webb C 1985a Barriers to sympathy. Nursing Mirror 160(1): 5–7
Webb C 1985b Nurses’ attitudes to therapeutic abortion. Nursing Times 81(1): 44–7
White M P, Reynolds B, Evans T T 1984 Handling of death in special care nurseries and parental grief. British Medical Journal 289: 167–9
Suggested Further Reading
Beckey R D, Price R A, Okerson M, Riley K W 1985 Development of a perinatal grief checklist. Journal of Obstetric, Gynecologic and Neonatal Nursing 1985 14(3): 194–99
David D L, Stewart M, Harmon R J 1988 Perinatal loss: providing emotional support for bereaved parents. Birth 15(4): 242–46
Gardner S L, Morenstein G B 1986 Perinatal grief and loss: an overview. Neonatal Network 5(2): 7–15
Health Education Bureau and SANDS A little lifetime. A booklet for parents whose babies have died around the time of birth. Health Education Bureau and SANDS, Ireland
Jolly J 1988 Missed beginnings. Austen Cornish for the Lisa Sainsbury Trust, London
Kubier-Ross E 1970 On death and dying. Tavistock Publications, London
Lewis E, Bryan E 1988 Management of perinatal loss of twins. British Medical Journal 297: 1321 (M) 1613 (C)
Oakley A, McPherson A, Roberts H 1984 Miscarriage. Fontana, London
Parkes C M 1972 Bereavement: studies of grief in adult life. Penguin Books, Harmondsworth
Penson J 1990 Bereavement: a guide for nurses: Chapter 6. Harper and Row, London
Rice M 1982 Bereavement counselling: support available for the bereaved. Unpublished report of study leave. In RCM library
Roch S 1987 Sharing the grief. Nursing Times 83(14): 52–3
Speck P 1978 Loss and grief in medicine. Baillière Tindall, London
Tickner V J 1989 Counselling skills in midwifery practice. In Bennett V R, Brown L K (eds) Myles textbook for midwives (11th ed). Churchill Livingstone, Edinburgh
Tschudin V 1987 Counselling skills for nurses (2nd ed). Baillière Tindall, London
Walker C 1982 Attitudes to death and bereavement among cultural minority groups. Nursing Times 78(50): 2106–09
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© 1990 Margaret Adams and Joyce Prince
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Adams, M., Prince, J. (1990). Care of the Grieving Parent with Special Reference to Stillbirth. In: Alexander, J., Levy, V., Roch, S. (eds) Postnatal Care. Midwifery Practice. Palgrave, London. https://doi.org/10.1007/978-1-349-21082-4_7
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DOI: https://doi.org/10.1007/978-1-349-21082-4_7
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