Rousseau P
Service de Gynécologie-Obstétrique, Hôpital de Jolimont, La Louvière, Belgique.
J Gynecol Obstet Biol Reprod (Paris). 1988;17(3):285-94.
Perinatal death entails bereavement for the family and confusion for the care-givers. In the light of a brief theoretical study of grief, the present article reviews the difficulties and complications of parental grief and the propositions for support and counselling. The most recent works in the subject as well as topics for future research are emphasized. Perinatal bereavement is followed by severe complications: depression, psychosis for mothers, mainly following the next live birth; family disagreement; disturbances, running away, drug, suicide among already born or future children, especially for the replacement child. Professional behaviour: listening, letting see the dead baby, offering possibilities for the expression of the emotions, is followed by gratitude from the parents instead of annoyance due to the usual conspiracy of silence. Bereavement outcome is furthered by the new management. More research is needed about maternal risk factors and prevention of parental grief repercussions on their children.
围产期死亡会给家庭带来丧亲之痛，给护理人员带来困惑。鉴于对悲伤的简要理论研究，本文回顾了父母悲伤的困难和并发症以及支持与咨询的建议。文中强调了该主题的最新研究成果以及未来的研究课题。围产期丧亲之痛会引发严重的并发症：母亲会出现抑郁、精神病，主要发生在下一次活产之后；家庭出现分歧；已出生或未来的孩子会出现行为紊乱、离家出走、吸毒、自杀等情况，尤其是替代孩子。专业行为包括倾听、让父母见到死去的婴儿、提供表达情感的机会，这样做会得到父母的感激，而不是因通常的沉默共谋而产生的恼怒。新的管理方式有助于改善丧亲之痛的结局。关于母亲的风险因素以及预防父母悲伤对其子女的影响，还需要更多的研究。
