Helmerichs J, Saternus K S
Institut für Rechtsmedizin, Georg-August Universität Göttingen.
Z Geburtshilfe Neonatol. 2000 May-Jun;204(3):99-105. doi: 10.1055/s-2000-10204.
Every subsequent pregnancy after the loss of a child due to Sudden Infant Death (SID) causes highly anxious parents. The aim of this investigation was to point out which feelings and experiences have to be considered as influencing factors for a following pregnancy--besides being afraid of a repeated loss. The overlapping fixing of our aim was to develop some proposals and recommendations for a capable accompanying during a subsequent pregnancy.
The base of the evaluation were 789 consultations during long-term cares of 115 families affected by Sudden Infant Death (SID). When their children died because of SID 9 of all the mothers were pregnant again. In the families which were cared for half-a-year or longer (n = 80), 47 (58.7%) subsequent pregnancies became known. All gravidities occurred within one year after SID except two cases.
We found a strong exigency for information, structure and protection during the whole pregnancy. This fact can be deducted from a high potential of anxiety and fear within the parents. Furthermore, our investigation revealed considerable doubts of the mothers about their parental competence and altered, but still intensive affects of grief yet confidence and great joy as well. Besides, we also observed problematic social experiences, as e.g. hushing up of the dead child or a lacking acceptance of grief by the social environment.
A supporting and reliefing accompanying during a subsequent pregnancy comprises a continuous enlightenment of parents by being honest and open even in giving unpleasant and burdensome informations. It is recommended to show understanding for the exceeding anxieties of the parents, to offer them more possibilities of examinations and conversations as usually appropriate and to talk to them about their dead child and grief. Often the arrangement of contact to a parent-self-help association is the essential offer of support.
因婴儿猝死（SID）而失去孩子后，每一次后续怀孕都会让父母高度焦虑。本调查的目的是指出除了害怕再次失去孩子之外，哪些感受和经历必须被视为后续怀孕的影响因素。我们目标的重叠部分是为后续怀孕期间的有效陪伴制定一些建议。
评估的基础是对115个受婴儿猝死（SID）影响家庭的长期护理中的789次咨询。在所有母亲中，有9位在孩子因SID死亡时再次怀孕。在接受护理半年或更长时间的家庭（n = 80）中，有47例（58.7%）后续怀孕情况为人所知。除两例之外，所有怀孕均发生在SID后的一年内。
我们发现整个孕期父母对信息、结构和保护有强烈需求。这一事实可从父母内心高度的焦虑和恐惧中推断出来。此外，我们的调查还揭示，母亲们对自己的育儿能力存在相当大的疑虑，悲伤情绪虽有变化但仍很强烈，同时还有信心和巨大喜悦。此外，我们还观察到一些有问题的社会经历，比如对死去孩子的隐瞒或社会环境对悲伤情绪的不接纳。
后续怀孕期间的支持性和舒缓性陪伴包括通过诚实和开放的态度持续开导父母，即便提供不愉快和沉重的信息。建议理解父母过度的焦虑，比通常适当的情况为他们提供更多检查和交流的机会，并与他们谈论死去的孩子和悲伤情绪。通常，为他们安排与父母自助协会的联系是至关重要的支持举措。
