Szgalsky J B
Neonatal Netw. 1989 Oct;8(2):15-9.
In order to substantially assist a grieving family at the time of perinatal death, the health care team should have sufficient knowledge of the grief reaction, including the duration, maternal/paternal differences, and perinatal psychodynamics. Immediate support includes bereavement counseling. Predelivery care should be provided, if appropriate. The health care team should be prepared for common questions and know about local cultural traditions. Follow-up care after discharge, including anticipatory guidance, is important. The issues of repeat pregnancies and holiday behavior should be addressed. Siblings must be taken into account. The health care team should be able to detect unresolved grief and identify at-risk parents. A hospital protocol should be in place. It should be kept in mind that parents remember the emotional care given to them rather than the technical or medical care provided.
为了在围产期死亡时切实帮助悲痛的家庭，医疗团队应充分了解悲伤反应，包括持续时间、母婴差异以及围产期心理动力学。即时支持包括哀伤辅导。如有必要，应提供分娩前护理。医疗团队应准备好回答常见问题并了解当地文化传统。出院后的随访护理，包括预期指导，很重要。应解决再次怀孕和节日期间行为等问题。必须考虑到兄弟姐妹。医疗团队应能够察觉未解决的悲伤情绪并识别有风险的父母。医院应制定相关协议。应记住，父母记住的是给予他们的情感关怀，而非提供的技术或医疗护理。
