ISSN 1789-8919
e-ISSN 2786-1562
Perinatal losses represent a significant trauma for women, the inadequate processing of which is associated with a number of short- and long-term negative effects. The aim of the study is to assess whether women who experienced fetal death received adequate mental support from professionals and the social environment, and whether complicated grief appeared in their cases.
Seven women who experienced perinatal loss participated in the study. With the help of a semi-structured in-depth interview, the experience of the losses and the perceived professional and social support were retrospectively explored. The data analysis was done using the method of content analysis.
According to the results of the investigation, professional psychological support was not provided during care for the mothers who experienced the loss. Social support was not able to provide sufficient support in all cases, and in several cases, communication barriers evolve in the couple relationship and in other social relationships. Several interviewees mentioned negative experiences regarding their health care. In one case, serious complicated grief could be determined, which was not processed until years later.
The present study draws attention to the importance of mental health support for women who have experienced a perinatal loss, as well as to the sensitization of those working in the obstetrics and gynecology department.
Adolfsson, A., Bertero, C., & Larsson, P.G. (2006). Effect of a structured follow-up visit to a midwife on women with early miscarriage: a randomized study. Acta Obstetricia Gynecologica Scandinavica, 85(3), 330-335. doi: 10.1080/00016340500539376.
Boyle, F.M., Vance, J.C., Najman, J.M., & Therale, M. J. (1996). The mental health impact of stillbirth, neonatal death or SIDS: prevalence and patterns of distress among mothers. Social Science & Medicine, 43, 1273-1282. doi: 10.1016/0277-9536(96)00039-1.
Cuisinier, M.C., Kuijpers, J.C., Hoogduin, C. A., de Graauw, C. P., & Janssen, H. J. (1993). Miscarriage and stillbirth: time since the loss, grief intensity and satisfaction with care. European Journal of Obstetrics Gynecology and Reproductive Biology, 52(3), 163-168. doi: 10.1016/0028-2243(93)90066-l.
Frost, M., & Condon, J. T. (1996). The psychological sequelae of miscarriage: a critical review of the literature. Australian and New Zeland Journal of Psychiatry, 30(1), 54-62. doi: 10.3109/00048679609076072.
Hughes, P., & Riches, S. (2003). Psychological aspects of perinatal loss. Current Opinion in Obstetrics Gynecology, 15(2), 107-11. doi: 10.1097/00001703-200304000-00004.
Janssen, H.J., Cuisinier, M.C., de Graauw, K. P., & Hoogduin K. A. (1997). A prospective study of risk factors predicting grief intensity following pregnancy loss. Arch Gen Psychiatry, 54:56-61. doi: 10.1001/archpsyc.1997.01830130062013.
Kersting, A., & Wagner, B. (2012): Complicated grief after perinatal loss, Dialogues in Clinical Neuroscience, 14:2, 187-194. doi: 10.31887/DCNS.2012.14.2/akersting
Kiss, E. CS., & Sz. Makó, H. (2015). (2015). Gyász, krízis, trauma és a megküzdés lélektana. Pro Pannonia Kiadói Alapítvány.
Kovácsné Török, Zs., & Szeverényi, P. (1996). A vetélés és a szülés körüli gyermekelvesztés a pszichológus szemével. A Magyar Pszichoszomatikus Szülészeti - Nőgyógyászati Társaság II: Kongresszusán elhangzott referátum anyaga, Gyula.
Lasker, J. N., & Toedter, L. J. (1991). Acute versus chronic grief: the case of pregnancy loss. Ami J Orthopsychiatry, 61(4), 510-22. doi: 10.1037/h0079288.
Li, J., Johansen, C., Hansen, D., & Olsen, J. (2002). Cancer incidence in parents who lost a child: a nationwide study in Denmark. Cancer, 95(10), 2237-2242. doi: 10.1002/cncr.10943.
Neugebauer, R., Kline, J., Shrout, P., Skodol, A., O'Connor, P., Geller, P.A., Stein, Z., & Susser, M. (1997). Major depressive disorder in the 6 months after miscarriage. JAMA, 277(5), 383-388. PMID: 9010170
Nikcevic, A.V., Tunkel, S. A., & Nicolaides, K. H. (1998). Psychological outcomes following missed abortions and provision of follow-up care. Ultrasound Obstet Gynecology, 11(2), 123-128. doi: 10.1046/j.1469-0705.1998.11020123.x.
Stroebe, M., Schut, H., & Stroebe, W. (2007). Health outcomes of bereavement. Lancet, 370(9603),1960-1973. doi: 10.1016/S0140-6736(07)61816-9.
Török, Zs. (2015). A perinatális veszteségélmény pszichológiája. In N. Pápai & A. Rigó (Eds.), Reproduktív egészségpszichológia. (86-108). ELTE Eötvös Kiadó.
Internetes hivatkozások:
WHO - Perinatal deaths per 1000 births:
https://gateway.euro.who.int/en/indicators/hfa_84-1170-perinatal-deaths-per-1000-births/
letöltve: 2023.05.04.
KSH 22.1.1.13. Magzati veszteségek száma és aránya: https://www.ksh.hu/stadat_files/nep/hu/nep0013.html
letöltve: 2023.05.04.
A Nemzeti Erőforrás Minisztérium szakmai irányelve a pszichológiai feladatokról szüléshez társuló veszteségek során. Szülészeti es Nőgyógyászati Szakmai Kollégium és Országos Gyermekegészségügyi Intézet.Magyar Közlöny: Hivatalos Értesítő, 2010, 13(104), 15246– 15258.
http://www.kozlonyok.hu/kozlonyok/kozlonyok/12/pdf/2010/104.pdf
letöltve: 2023.05.04.
