Department of Obstetrics. & Gynecology, Post Graduate Institute of Medical Education and Research, Sector 12, Chandigarh, 160012, India.
Department of Obstetrics and Gynaecology, Royal London Hospital, Whitechapel Rd, London, E1 1FR, United Kingdom.
Best Pract Res Clin Obstet Gynaecol. 2022 Apr;80:92-104. doi: 10.1016/j.bpobgyn.2021.10.008. Epub 2021 Nov 16.
Stillbirth or neonatal death is one of the most traumatic and distressing life experiences with negative psychosocial effects. Perinatal grief is natural and understandable, and, if not recognized and well supported, may lead to long-term harmful effects. Harm may also be caused to the other surviving siblings, families, and next generation. This can be helped by effective bereavement care. Bereavement care is an area of enormous needs, relatively untraveled road. Though the loss cannot be undone, but a negative impact can be minimized by compassionate supportive care. This chapter will focus on the need of a trained team for effective bereavement care. Principles of evidence-based best practices from the literature will be reviewed and translated into key practice implications. An emphasis is laid on a structured training involving the whole team. We hope this will help in day-to-day situation handling so as to prevent the harm associated with unaddressed grief. Areas of gap with the further need of research are highlighted.
死产或新生儿死亡是最具创伤性和令人痛苦的生活经历之一,会产生负面的社会心理影响。围产期悲伤是自然且可以理解的,如果得不到识别和充分支持,可能会导致长期的有害影响。其他幸存的兄弟姐妹、家庭和下一代也可能受到伤害。有效的丧亲关怀可以帮助避免这种情况。丧亲关怀是一个需求巨大但相对未被探索的领域。虽然无法挽回损失,但通过富有同情心的支持性护理,可以将负面影响降到最低。本章将重点介绍需要一支训练有素的团队来提供有效的丧亲关怀。将回顾文献中基于证据的最佳实践原则,并将其转化为关键的实践意义。重点是对整个团队进行结构化培训。我们希望这将有助于日常情况的处理,从而防止因未解决的悲伤而带来的伤害。强调了需要进一步研究的差距领域。