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- W2073738610 abstract "Patricia Hughes and colleagues1Hughes P Turton P Evans CDH Assessment of guidelines for good practice in psychosocial care of mothers after stillbirth: a cohort study.Lancet. 2002; 360: 114-118Summary Full Text Full Text PDF PubMed Scopus (208) Google Scholar conclude that the hitherto recommended procedure for the psychosocial care of mothers after stillbirth—ie, that they should be encouraged to see and hold their infant after stillbirth—was associated with a worse outcome. The procedure customarily followed at the Department of Gynaecology and Obstetrics, University of Münster, Germany, for parents after stillbirth, consists of offering the parents the opportunity to see and to touch their stillborn, child after birth, and discussing with them the emotional consequences of their decision. No recommendation is made by the staff; the decision is left entirely to the parents. In our as yet unpublished retrospective study on 80 women who had undergone termination of pregnancy because of fetal malformation between 15 and 33 weeks of gestation, we investigated the long-term posttraumatic stress response and grief 2–7 years after termination of pregnancy. Almost three quarters (73·8%) of the women in the study group decided to see and hold their dead child after birth, and 15% opted for a burial. No significant differences were recorded in the extent of traumatic response and grief between women who had seen their infant and those who had decided not to do so (p=0·875 on the revised impact of event scale;2Maercker A Schuetzwohl M Erfassung von psychischen belastungsfolgen: die impact of event skala—revidierte version (IES-R).Diagnostica. 1998; 44: 130-141Google Scholar p=0·998 on the perinatal grief scale3Toedter LJ Lasker JN Alhadeff JM. The perinatal grief scale: development and initial validation.Am J Orthopsychiat. 1988; 58: 435-449Crossref PubMed Scopus (201) Google Scholar). Our findings suggest that, after sensitive counselling on the options available and their emotional impact on the grieving process, most parents are capable of making the right decision for themselves on whether to see and touch their dead infant. Psychosocial care of mothers after stillbirthAuthors' reply Full-Text PDF" @default.
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- W2073738610 date "2002-11-01" @default.
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- W2073738610 title "Psychosocial care of mothers after stillbirth" @default.
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- W2073738610 doi "https://doi.org/10.1016/s0140-6736(02)11534-0" @default.
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