Document Detail

Communication following a stillbirth or neonatal death: room for improvement.
MedLine Citation:
PMID:  8652485     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To assess the extent of knowledge which mothers had about a previous stillbirth or neonatal death, their satisfaction with the information and advice given them, and their degree of anxiety during a subsequent pregnancy. DESIGN: Personal interview. SETTING: Antenatal clinic of a British military hospital in Germany. SUBJECTS: Forty-eight caucasian, pregnant women, 28 of whom had had a previous stillbirth (Group A) and 20 a neonatal death (Group B). RESULTS: Over half (25/48) the women had a poor or confused knowledge of the events surrounding the death, only 29% were satisfied with the information they had received, and nearly 40% became pregnant within six months of the death despite medical advice against conceiving soon after such an event. The mothers of stillborn babies were significantly less likely to know the birthweight than the mothers of babies who died after birth (60% vs 95%), and 40% had not given the baby a name. Over a third of the mothers were admitted to hospital because of anxiety about the current pregnancy. CONCLUSIONS: Dissatisfaction with the quality of information given by hospital staff, rapid conception despite medical advice to the contrary, and anxiety in a subsequent pregnancy were common after a previous stillbirth or neonatal death. A poor or confused knowledge about the baby's death was more likely if the death had been intrauterine and unexplained, or associated with maceration, a lethal abnormality, an emergency delivery resulting in stillbirth, or a preventable cause.
M E Crowther
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  British journal of obstetrics and gynaecology     Volume:  102     ISSN:  0306-5456     ISO Abbreviation:  Br J Obstet Gynaecol     Publication Date:  1995 Dec 
Date Detail:
Created Date:  1996-07-31     Completed Date:  1996-07-31     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  7503752     Medline TA:  Br J Obstet Gynaecol     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  952-6     Citation Subset:  AIM; IM    
British Military Hospital, Rinteln, Germany.
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MeSH Terms
Abortion, Spontaneous / psychology*
Anxiety / psychology
Fetal Death*
Mothers / psychology*
Patient Education as Topic
Patient Satisfaction
Professional-Patient Relations

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