Gold K J
Department of Family Medicine, University of Michigan Health System, Ann Arbor, MI 48109-0604, USA.
J Perinatol. 2007 Apr;27(4):230-7. doi: 10.1038/sj.jp.7211676.
Health care providers are on the front lines of care when a baby dies, but there is no consensus about which behaviors are most helpful or harmful for families.
This systematic review of more than 1100 English-language articles from 1966 to 2006 addressed fetal and early infant loss and extracted information about interactions with health providers.
Sixty-one studies, covering over 6000 parents, met criteria. Nurses were generally viewed as more emotionally supportive than physicians. Parents valued emotional support, attention to mother and baby and grief education. Avoidance, insensitivity and poor staff communication were the most distressing behaviors encountered.
Interactions with health providers has profound effects on parents with perinatal losses. Grieving parents perceive many behaviors to be thoughtless or insensitive. Physicians and nurses may benefit from increased training in bereavement support.
当婴儿死亡时，医疗保健提供者处于护理的第一线，但对于哪些行为对家庭最有帮助或最有害，尚无共识。
对1966年至2006年的1100多篇英文文章进行了系统综述，涉及胎儿和早期婴儿死亡，并提取了与医疗服务提供者互动的信息。
61项研究涵盖了6000多名父母，符合标准。护士通常被认为比医生更能给予情感支持。父母重视情感支持、对母婴的关注以及悲伤教育。回避、冷漠和工作人员沟通不畅是最令人痛苦的行为。
与医疗服务提供者的互动对经历围产期损失的父母有深远影响。悲伤的父母认为许多行为是轻率或冷漠的。医生和护士可能会从增加的哀伤支持培训中受益。
