Skip to main content
The BMJ logoLink to The BMJ
. 1996 Jun 15;312(7045):1505–1508. doi: 10.1136/bmj.312.7045.1505

Psychological complications after stillbirth--influence of memories and immediate management: population based study.

I Rådestad 1, G Steineck 1, C Nordin 1, B Sjögren 1
PMCID: PMC2351280  PMID: 8646141

Abstract

OBJECTIVE--To identify factors that may predict long term psychological complications among women who have had a stillborn child. DESIGN--Nationwide population based study using epidemiological methods. SUBJECTS--380 subjects and 379 controls who had had a stillborn or non-deformed live child in Sweden in 1991. RESULTS--Information was provided by 636 (84%) women. The ratio (95% confidence interval) of proportions of women with symptoms related to anxiety above the 90th centile for women who had had a stillborn child compared with those who had not was 2.1 (1.2 to 3.9). An interval of 25 hours or more from the diagnosis of death in utero to the start of delivery gave a ratio of 4.8 (1.5 to 15.9). The ratio was 2.3 (1.1 to 5.3) for not seeing the child as long as the mother had wished and 3.1 (1.6 to 6.0) for no possession of a token of remembrance. CONCLUSION--It is advisable to induce the delivery as soon as feasible after the diagnosis of death in utero. A calm environment for the woman to spend as much time as she wants with her stillborn child is beneficial, and tokens of remembrance should be collected.

Full text

PDF
1505

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Beckey R. D., Price R. A., Okerson M., Riley K. W. Development of a perinatal grief checklist. J Obstet Gynecol Neonatal Nurs. 1985 May-Jun;14(3):194–199. doi: 10.1111/j.1552-6909.1985.tb02227.x. [DOI] [PubMed] [Google Scholar]
  2. Bourne S. The psychological effects of stillbirths on women and their doctors. J R Coll Gen Pract. 1968 Aug;16(2):103–112. [PMC free article] [PubMed] [Google Scholar]
  3. Cohen L., Zilkha S., Middleton J., O'Donnohue N. Perinatal mortality: assisting parental affirmation. Am J Orthopsychiatry. 1978 Oct;48(4):727–731. doi: 10.1111/j.1939-0025.1978.tb02577.x. [DOI] [PubMed] [Google Scholar]
  4. Cullberg J. Reaktioner inför perinatal barnadöd. (I). Psykiska följder hos kvinnan. Lakartidningen. 1966 Oct 19;63(42):3980–3986. [PubMed] [Google Scholar]
  5. Giles P. F. Reactions of women to perinatal death. Aust N Z J Obstet Gynaecol. 1970 Nov;10(4):207–210. doi: 10.1111/j.1479-828x.1970.tb00431.x. [DOI] [PubMed] [Google Scholar]
  6. Kellner K. R., Best E. K., Chesborough S., Donnelly W., Green M. Perinatal mortality counseling program for families who experience a stillbirth. Death Educ. 1981 Spring;5(1):29–35. doi: 10.1080/07481188108252075. [DOI] [PubMed] [Google Scholar]
  7. Kirkley-Best E., Kellner K. R. The forgotten grief: a review of the psychology of stillbirth. Am J Orthopsychiatry. 1982 Jul;52(3):420–429. doi: 10.1111/j.1939-0025.1982.tb01428.x. [DOI] [PubMed] [Google Scholar]
  8. Kowalski K. Managing perinatal loss. Clin Obstet Gynecol. 1980 Dec;23(4):1113–1123. doi: 10.1097/00003081-198012000-00015. [DOI] [PubMed] [Google Scholar]
  9. LaRoche C., Lalinec-Michaud M., Engelsmann F., Fuller N., Copp M., McQuade-Soldatos L., Azima R. Grief reactions to perinatal death--a follow-up study. Can J Psychiatry. 1984 Feb;29(1):14–19. doi: 10.1177/070674378402900104. [DOI] [PubMed] [Google Scholar]
  10. Leon I. G. Perinatal loss. A critique of current hospital practices. Clin Pediatr (Phila) 1992 Jun;31(6):366–374. doi: 10.1177/000992289203100611. [DOI] [PubMed] [Google Scholar]
  11. Lewis E. The management of stillbirth: coping with an unreality. Lancet. 1976 Sep 18;2(7986):619–620. doi: 10.1016/s0140-6736(76)90680-2. [DOI] [PubMed] [Google Scholar]
  12. Long J. Grief and loss in childbirth. Midwives Chron. 1992 Mar;105(1250):51–54. [PubMed] [Google Scholar]
  13. Nicol M. T., Tompkins J. R., Campbell N. A., Syme G. J. Maternal grieving response after perinatal death. Med J Aust. 1986 Mar 17;144(6):287–289. doi: 10.5694/j.1326-5377.1986.tb128375.x. [DOI] [PubMed] [Google Scholar]
  14. Rowe J., Clyman R., Green C., Mikkelsen C., Haight J., Ataide L. Follow-up families who experience a perinatal death. Pediatrics. 1978 Aug;62(2):166–170. [PubMed] [Google Scholar]
  15. Toedter L. J., Lasker J. N., Alhadeff J. M. The Perinatal Grief Scale: development and initial validation. Am J Orthopsychiatry. 1988 Jul;58(3):435–449. doi: 10.1111/j.1939-0025.1988.tb01604.x. [DOI] [PubMed] [Google Scholar]
  16. Tudehope D. I., Iredell J., Rodgers D., Gunn A. Neonatal death: grieving families. Med J Aust. 1986 Mar 17;144(6):290–292. doi: 10.5694/j.1326-5377.1986.tb128376.x. [DOI] [PubMed] [Google Scholar]
  17. Welch I. D. Miscarriage, stillbirth, or newborn death: starting a healthy grieving process. Neonatal Netw. 1991 Jun;9(8):53–57. [PubMed] [Google Scholar]

Articles from BMJ : British Medical Journal are provided here courtesy of BMJ Publishing Group

RESOURCES