Parental experiences of grief after perinatal loss: A qualitative systematic review

Mariana Ribeiro, Paula Susana Carvalho, Ana Carla Torres

Abstract


Perinatal loss disrupts the journey to parenthood, halting dreams and expectations surrounding the child and family. This study presents a systematic review of qualitative research on parental grief following perinatal loss, exploring emotional responses, gender differences, relational impacts, and the role of healthcare professionals. Following PRISMA guidelines, searches in Web of Science and Scopus identified 23 qualitative studies published between 2013 and 2023. Findings show that perinatal loss triggers profound distress, initially marked by shock, denial, and numbness, followed by guilt, envy, and isolation. Gender differences emerged: mothers more openly expressed grief, while fathers tended to suppress emotions. Healthcare professionals played a crucial role, with empathetic communication easing distress and insensitivity worsening grief. These results underscore the need for gender-sensitive and relationship-focused interventions to support parents coping with perinatal loss.


Keywords


Perinatal loss, Parental grief, Qualitative systematic review.

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References


Alvarez-Calle, M., & Chaves, C. (2023). Posttraumatic growth after perinatal loss: A systematic review. Midwifery, 121, e103651. https://doi.org/10.1016/j.midw.2023.103651

Asplin, N., Wessel, H., Marions, L., & Öhman, S. G. (2014). Pregnancy termination due to fetal anomaly: Women’s reactions, satisfaction and experiences of care. Midwifery, 30(6), 620-627. https://doi.org/10.1016/j.midw.2013.10.013

Arach, A. A. O., Kiguli, J., Nankabirwa, V., Nakasujja, N., Mukunya, D., Musaba, M. W., Napyo, A., Tumwine, J. K., Ndeezi, G., & Rujumba, J. (2022). “Your heart keeps bleeding”: Lived experiences of parents with perinatal death in Northern Uganda. Pregnancy and Childbirth, 22, e491. https://doi.org/10.1186/s12884-022-04788-8

Avelin, P., Rådestad, I., Säflund, K., Wredling, R., & Erlandsson, K. (2013). Parental grief and relationshipsafter the loss of a stillborn baby. Midwifery, 29(6), 668-673. https://doi.org/10.1016/j.midw.2012.06.007

Azeez, S., Obst, K. L., Due, C., Oxlad, M., & Middleton, P. (2022). Overwhelming and unjust: A qualitative study of fathers’ experiences of grief following neonatal death. Death Studies, 46(6), 1443-1454. https://doi.org/10.1080/07481187.2022.2030431

Bratt, A. S., Stenstrom, U., & Rnnemark, M. (2018). Exploring the most important negative life events in older adults bereaved of child, spouse, or both. OMEGA – Journal of Death and Dying, 76(3), 227-236. https://doi.org/10.1177/0030222816642453

Cacciatore, J. (2013). Psychological effects of stillbirth. Seminars in Fetal & Neonatal Medicine, 18(2), 76-82. https://doi.org/10.1016/j.siny.2012.09.001

Callister, L. C. (2006). Perinatal loss: A family perspective. The Journal of Perinatal and Neonatal Nursing, 20(3), 227-234. https://doi.org/10.1097/00005237-200607000-00009

Camarneiro, A. P. F, Maciel, J. C. S. C., & Silveira, R. M. G. (2015). Vivências da interrupção espontânea da gravidez em primigestas no primeiro trimestre gestacional: Um estudo fenomenológico. Revista de Enfermagem Referência, 4(5), 109-117. https://doi.org/10.12707/RIV14064

Cassaday, T. M. (2018). Impact of pregnancy loss on psychological functioning and grief outcomes. Obstetrics and Gynecology Clinics of North America, 45(3), 525-533. https://doi.org/10.1016/j.ogc.2018.04.004

Castle, J., & Phillips, W. L. (2003). Grief rituals: Aspects that facilitate adjustment to bereavement. Journal of Loss & Trauma, 8(1), 41-71. https://doi.org/10.1080/15325020305876

Chavez, M. S., Handley, V., Jones, R. L., Eddy, B., & Poll, V. (2019). Men’s experiences of miscarriage: A passive phenomenological analysis of online data. Journal of Loss and Trauma, 24(7), 664-677. https://doi.org/10.1080/23802359.2019.1611230

Consonni, E. B., & Petean, E. B. L. (2013). Perda e luto: Vivências de mulheres que interromperam a gestação por malformação fetal letal. Ciência & Saúde Coletiva, 18(9), 2663-2670. https://doi.org/10.1590/S1413-81232013000900021

Coyle, C. T., & Rue, V. M. (2015). A thematic analysis of men’s experience with a partner’s elective abortion. Counseling and Values, 60(2), 138-150. https://doi.org/10.1002/cvj.12010

Cullen, S., Coughlan, B., Casey, B., Power, S., & Brosnan, M. (2017). Exploring parents’ experiences of care in an Irish hospital following second-trimester miscarriage. British Journal of Midwifery, 25(2), 110-115. https://doi.org/10.12968/bjom.2017.25.2.110

Cullen, S., Coughlan, B., McMahon, A., Casey, B., Power, S., & Brosnan, M. (2018). Parents’ experiences of clinical care during second trimester miscarriage. British Journal of Midwifery, 26(5), 309-315. https://doi.org/10.12968/bjom.2018.26.5.309

Delgado, L., Cobo, J., Giménez, C., Fucho-Rius, G. F., Sammut, S., Martí, L., Lesmes, C., Puig, S., Obregón, N., Canet, Y., & Palao, D. J. (2023). Initial Impact of Perinatal Loss on Mothers and Their Partners. International Journal of Environmental Research and Public Health, 20(2), e1304. https://doi.org/10.3390/ijerph20021304

Demontigny, F., Verdon, C., Meunier, S., Gervais, C., & Coté, I. (2020). Protective and risk factors for women’s mental health after a spontaneous abortion. Revista LatinoAmericana de Enfermagem, 28, e3350. https://doi.org/10.1590/1518-8345.3382.3350

Evans, N. T. M., Hsu, Y. L., Kabasele, C. M., Kirkland, C., Pantuso, D., & Hicks, S. (2022). A qualitative exploration of stressors: Voices of African American Women who have experienced each type of fetal/infant loss: Miscarriage, stillbirth, and infant mortality. Journal of Black Psychology, 49(2), 236-263. https://doi.org/10.1177/00957984221127833

Faria-Schützer, D. B., Duarte, C. A. M., Vieira, C. M., & Turato, E. R. (2014). Fica um grande vazio: Relatos de mulheres que experienciaram a morte fetal durante a gestação. Estudos Inter disciplinares em Psicologia, 5(2), 113-132. https://doi.org/10.5433/2236-6407.2014v5n2p113

Farren, J., Mitchell-Jones, N., Verbakel, J., Timmerman, D., Jalmbrant, M., & Bourne, T. (2018). The psychological impact of early pregnancy loss. Human Reproduction Update, 24(6), 731-749. https://doi.org/10.1093/humupd/dmy025

Figueredo-Borda, N., Pereira, M.R., Gaudiano, P., Cracco, C., & Ramos, B. (2022). Experiences of miscarriage: The voice of parents and health professionals. Journal of Death and Dying, 89(2), 777-794. https://doi.org/10.1177/00302228221085188

Gabriel, S., Paulino, M., & Baptista, T. M. (2021). Intervenção Psicológica no Luto Parental. In S. Gabriel, M. Paulino, & T. M. Baptista (Coords.), Luto: Manual de intervenção psicológica (pp. 183-218). PACTOR.

Gordo, M. B. (2022). Pregnancy loss and the grieving process. What women and their partners share. Journal of Infant, Child, and Adolescent Psychotherapy, 21(3), 252-261. https://doi.org/10.1080/15289168.2022.2090213

Hendriks, M. J., & Abraham, A. (2022). Perinatal loss and parental loneliness: Narratives of late termination of pregnancy. Death Studies, 46(6), 1490-1500. https://doi.org/10.1080/07481187.2021.1894511

Huffman, C., Schwartz, T., & Swanson, K. (2015). Couples and miscarriage: The influence of gender and reproductive factors on the impact of miscarriage. Women’s Health Issues, 25(5), 570-578. https://doi.org/10.1016/j.whi.2015.04.005

Joanna Briggs Institute. (2014). Joanna Briggs Institute reviewers’ manual: 2014 edition. The University of Adelaide.

Jones, A. E., Scoresby, K., & Duong, C. C. (2022). Navigating grief and pregnancy loss through online story telling. Qualitative Social Work, 22(4), 795-809. https://doi.org/10.1177/14733250221108634

Kecir, K. A., Rothenburger, S., Morel, O., Albuisson, E., & Ligier, F. (2021). Experiences of fathers having faced with termination of pregnancy for fetal abnormality. Journal of Gynecology Obstetrics and Human Reproduction, 50(1), e10818. https://doi.org/10.1016/j.jogoh.2020.101818

Kobler, K., Limbo, R., & Kavanaugh, K. (2007). Meaningful moments: The use of ritual in perinatal and pediatric death. MCN: The American Journal of Maternal/Child Nursing, 32(5), 288-295. https://doi.org/10.1097/01.NMC.0000287999.87629.5a

Lemos, L. F. S., & Cunha, A. C. B. (2015). Concepções sobre morte e luto: Experiência feminina sobre a perda gestacional. Psicologia: Ciência e Profissão, 35(4), 1120-1138. https://doi.org/10.1590/1982-3703001582014

Maguire, M., Light, A., Kuppermann, M., Dalton, V. K., Steinauer, J. E., & Kerns, J. L. (2015). Grief after second-trimester termination for fetal anomaly: A qualitative study. Contraception, 91(3), 234-239. https://doi.org/10.1016/j.contraception.2014.11.015

Meaney, S., Corcoran, P., Spillane, N., & O’Donoghue, K. (2017). Experience of miscarriage: An interpretative phenomenological analysis. BMJ Open, 7, e011382. https://doi.org/10.1136/bmjopen-2016-011382

Mitima-Verloop, H. B., Mooren, T. T., & Boelen, P. A. (2021). Facilitating grief: An exploration of the function of funerals and rituals in relation to grief reactions. Death Studies, 45(9), 735-745. https://doi.org/10.1080/07481187.2019.1686090

Mourão, A. F. D. S. (2016). Impacto de uma morte fetal ou neonatal nos homens e comunicação do casal acerca da perda: Perceção feminina [Dissertação de Mestrado, Universidade Lusófona de Humanidades e Tecnologia]. http://hdl.handle.net/10437/7835

Nazaré, B., Fonseca, A., Pedrosa, A. A., & Canavarro, M. C. (2010). Avaliação e intervenção psicológica na perda gestacional. Perita – Revista Portuguesa de Psicologia, 3, 37-46. https://hdl.handle.net/10316/14322

Obst, K. L., & Due, C. (2019). Australian men’s experiences of support following pregnancy loss: A qualitative study. Midwifery, 70, 1-6. https://doi.org/10.1016/j.midw.2018.11.013

O’Leary, J., & Thorwick, C. (2005). Fathers’ perspectives during pregnancy, post perinatal loss. Journal of Obstetric, Gynecologic & Neonatal Nursing, 35(1), 78-86. https://doi.org/10.1111/j.1552-6909.2006.00017.x

Oliveira, C. M., Silva, A. D., Ramalho, C., Costa, M. E., & Martins, M. V. (2022). Efeitos da satisfação conjugal e da utilidade de rituais na vivência do luto no abortamento. Cogitare Enfermagem, 27, e82691. https://doi.org/10.5380/ce.v27i0.82691

Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., Brennan, S. E., Chou, R., Glanville, J., Grimshaw, J. M., Hróbjartsson, A., Lalu, M. M., Li, T., Loder, E. W., Mayo-Wilson, E., McDonald, S., & McGuinness, L. A. (2021). The PRISMA 2020

statement: An updated guideline for reporting systematic reviews. British Medical Journal, 372(71). https://doi.org/10.1136/bmj.n71

Popoola, T., Skinner, J., & Woods, M. (2024). ‘Every woman wants to know what came out of her body’: Grief experiences of women after stillbirth in Nigeria. OMEGA – Journal of Death and Dying, 88(4), 1275-1289. https://doi.org/10.1177/00302228211051823

Public Health Agency of Canada. (2017). Loss and grief. In L. Thorp (Coord.), Family-centred maternity and newborn care: National guidelines. Public Health Agency of Canada. https://www.canada.ca/en/publichealth/services/publications/healthy-living/maternity-newborn-care-guidelines-chapter-7.html#a0.2

Razeq, N. M. A., & Al-Gama, E. (2018). Mothers’ lived experience of losing a newborn infant in Jordan. Journal of Hospice & Palliative Nursing, 20(2), 137-145. https://doi.org/10.1097/NJH.0000000000000417

Rosa, B. G. (2020). Perda gestacional: Aspectos emocionais da mulher e o suporte da família na elaboração do luto. Revista PsicoFAE: Pluralidades em Saúde Mental, 9(2), 86-99. https://doi.org/10.17648/2447-1798-revistapsicofae-v9n2-9

Sanches, B. R. T., & Freitas, P. M. D. L. (2017). O papel do psicólogo hospitalar diante da perda fetal. Revista Uningá, 29(1), 1-8. https://revista.uninga.br/uningareviews/article/view/1910

Silva, A. D., Costa, M. E., & Martins, M. V. (2019). A vivência do luto por perda gestacional na perspectiva do casal: Revisão de escopo. Revista Brasileira de Sociologia da Emoção, 18(54), 77-86. https://hdl.handle.net/10216/124109

Tanacıoğlu-Aydın, B., & Erdur-Baker, Ö. (2022). Pregnancy loss experiences of couples in a phenomenological study: Gender differences within the Turkish sociocultural context. Death Studies, 46(9), 2237-2246. https://doi.org/10.1080/07481187.2021.1922542

Testoni, I., Bregoli, J., Pompele, S., & Maccarini, A. (2020). Social support in perinatal grief and mothers’ continuing bonds: A qualitative study with Italian mourners. Affilia: Journal of Women & Social Work, 35(4), 485-502. https://doi.org/10.1177/0886109920906784

Wagner, N. J., Vaughn, C. T., & Tuazon, V. E. (2018). Fathers’ lived experiences of miscarriage. The Family Journal 26(2), 193-199. https://doi.org/10.1177/1066480718770154

World Health Organization [WHO]. (2023). Why we need to talk about losing a baby. https://www.who.int/newsroom/spotlight/why-we-need-to-talk-about-losing-a-baby




DOI: https://doi.org/10.14417/ap.2161

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