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Paternal involvement after perinatal death

R J Revak-Lutz1, K R Kellner

  • 1Department of Obstetrics and Gynecology, University of Florida, Gainesville 32610.

Journal of Perinatology : Official Journal of the California Perinatal Association
|November 1, 1994
PubMed
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Many fathers experience grief after perinatal death. Paternal involvement, including birth presence and holding the baby, was linked to cohabitation and gestational age, highlighting the need for father-inclusive grief support.

Area of Science:

  • Perinatal Health
  • Sociology
  • Psychology

Background:

  • Perinatal death significantly impacts families, yet paternal involvement in grief processes is understudied.
  • Understanding fathers' roles is crucial for comprehensive bereavement care.

Purpose of the Study:

  • To examine paternal involvement following perinatal death in a diverse, lower socioeconomic status population.
  • To identify factors influencing paternal engagement during bereavement.

Main Methods:

  • Retrospective chart review of 722 perinatal death cases (miscarriage, stillbirth, neonatal death ≤12 hours).
  • Indicators of paternal involvement included presence at birth, holding the baby, and attending follow-up appointments.
  • Data collected from Shands Hospital at the University of Florida (July 1978–April 1991).

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Main Results:

  • Over half of fathers attended the birth; a quarter held their baby; one-fifth attended follow-up appointments.
  • Paternal-maternal cohabitation was the strongest predictor of involvement.
  • Race, marital status, employment, and gestational age also influenced paternal presence and engagement.

Conclusions:

  • Fathers experience significant perinatal grief, necessitating their inclusion in bereavement counseling.
  • Further research is needed to fully understand and support paternal involvement after perinatal loss.
  • Clinical interventions should consider socioeconomic and demographic factors influencing paternal engagement.