| A comparison of women's memories of care during pregnancy, labour and delivery after stillbirth or live birth. | |
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MedLine Citation:
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PMID: 10382480 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To compare women's reports of aspects of their care during pregnancy, labour and delivery following stillbirth and live birth. DESIGN: Data were collected by postal questionnaire in 1994. SETTING: A Swedish nation-wide population-based study of cohorts defined in 1991. PARTICIPANTS: Three hundred and fourteen women with stillbirth (subjects) and 322 women with live birth (controls). MEASUREMENTS AND FINDINGS: Labour and delivery were assessed as physically 'insufferably hard' by 52 (17%) of the subjects and 33 (10%) of the controls. The corresponding figures for emotional strains were 144 (47%) and 21 (7%). Obstetric analgesia was more frequently used during labour for stillbirth. One hundred and thirty-eight (44%) subjects, as compared to 44 (2%) of the controls, left hospital within 24 hours of birth. Almost all the women with stillbirth 296 (95%) stated that it was important to have an explanation of the baby's death. Adverse events related to bromocriptine given to inhibit postpartum lactation, were reported by 60 (22%) of the subjects. KEY CONCLUSIONS: It is possible to ease the distress of labour and delivery for stillbirth. Discussion of the aetiology of the baby's death with the mother should be a priority. The optimal length of stay in hospital after stillbirth remains to be defined. Non-pharmacological inhibition of lactation may be presented as an alternative to bromocriptine, breast binding is a concrete 'reality confrontation' for the woman and may aid her in her grieving process. Further studies concerning breast binding vs pharmacological inhibition of lactation and long-term psychological outcome are warranted. |
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Authors:
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I Rådestad; C Nordin; G Steineck; B Sjögren |
Publication Detail:
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Type: Comparative Study; Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Midwifery Volume: 14 ISSN: 0266-6138 ISO Abbreviation: Midwifery Publication Date: 1998 Jun |
Date Detail:
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Created Date: 1999-07-01 Completed Date: 1999-07-01 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 8510930 Medline TA: Midwifery Country: SCOTLAND |
Other Details:
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Languages: eng Pagination: 111-7 Citation Subset: N |
Affiliation:
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Centre of Caring Sciences North (CWN), Karolinska Institute, Karolinska Hospital, Stockholm, Sweden. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Attitude to Health* Case-Control Studies Delivery, Obstetric / methods, psychology* Female Fetal Death* / etiology Humans Infant, Newborn Labor, Obstetric / psychology* Memory* Mothers / education, psychology* Patient Education as Topic / methods Population Surveillance Pregnancy / psychology* Prenatal Care* / methods Questionnaires Sweden |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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