Document Detail

A comparison of women's memories of care during pregnancy, labour and delivery after stillbirth or live birth.
MedLine Citation:
PMID:  10382480     Owner:  NLM     Status:  MEDLINE    
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.
I Rådestad; C Nordin; G Steineck; B Sjögren
Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Midwifery     Volume:  14     ISSN:  0266-6138     ISO Abbreviation:  Midwifery     Publication Date:  1998 Jun 
Date Detail:
Created Date:  1999-07-01     Completed Date:  1999-07-01     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8510930     Medline TA:  Midwifery     Country:  SCOTLAND    
Other Details:
Languages:  eng     Pagination:  111-7     Citation Subset:  N    
Centre of Caring Sciences North (CWN), Karolinska Institute, Karolinska Hospital, Stockholm, Sweden.
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MeSH Terms
Attitude to Health*
Case-Control Studies
Delivery, Obstetric / methods,  psychology*
Fetal Death* / etiology
Infant, Newborn
Labor, Obstetric / psychology*
Mothers / education,  psychology*
Patient Education as Topic / methods
Population Surveillance
Pregnancy / psychology*
Prenatal Care* / methods

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