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Maternal grieving response after perinatal death.

M T Nicol, J R Tompkins, N A Campbell

    The Medical Journal of Australia
    |March 17, 1986
    PubMed
    Summary
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    Perinatal infant loss significantly impacts mothers, with 21% experiencing pathological bereavement. Factors like pregnancy crisis and lack of support increase risk, highlighting the severity of infant loss.

    Area of Science:

    • Psychology
    • Obstetrics
    • Perinatal Care

    Background:

    • Maternal psychological and physical health disturbances following perinatal loss are significant concerns.
    • Understanding the long-term effects of infant death is crucial for developing effective support systems.

    Purpose of the Study:

    • To investigate the nature and incidence of psychological and physical disturbances in mothers who experienced perinatal infant loss.
    • To identify factors associated with pathological bereavement outcomes in this population.

    Main Methods:

    • Longitudinal interviews with 110 mothers 6–36 months post-loss.
    • Assessment of demographic characteristics, hospital experiences, bereavement effects, and social support.

    Main Results:

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    • 21% of mothers exhibited pathological bereavement, defined by health deterioration and social adjustment issues.
    • Pathological bereavement was linked to a crisis during pregnancy and perceived lack of husband/family support.
    • Mothers not seeing or holding their baby also showed increased risk.

    Conclusions:

    • Perinatal infant loss can have severe psychological effects on mothers, comparable to losing a spouse.
    • Early identification of at-risk mothers is possible through assessment of specific risk factors shortly after loss.