Specialized Versus Standard Care After Pregnancy and Neonatal Loss: A Cohort Study.

IF 1.3
Omega Pub Date : 2025-09-10 DOI:10.1177/00302228251376222
Sofie Mørk, Natasia Nørskov Hindsbak, Maja O'Connor, Tine Brink Henriksen, Sören Möller, Dorte Hvidtjørn
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Abstract

Pregnancy loss is a traumatic experience, and the quality of care can vary significantly across healthcare settings. However, evidence on the impact of different types of care on psychological outcomes is limited. This study examined the relationship between specialized care for parents experiencing pregnancy or neonatal loss and the level of Prolonged Grief Disorder (PGD) and Post-Traumatic Stress Disorder (PTSD) symptoms, as well as the role of midwifery support, one month post-loss. Using longitudinal data from 732 Danish parents who experienced a loss between 2016 and 2021, we found that 22.5% (n = 165) received specialized care. Compared to standard care, specialized care was associated with fewer PGD and PTSD symptoms. Additionally, parents who received specialized care reported significantly higher levels of midwifery support, with variation by type of loss (miscarriage/termination/stillbirth/neonatal death). While this study indicates benefits from specialized care for bereaved parents, further studies should be conducted to consolidate these findings.

妊娠和新生儿丢失后的专科与标准护理:一项队列研究。
流产是一种创伤性经历,不同医疗机构的护理质量差异很大。然而,关于不同类型的护理对心理结果影响的证据是有限的。本研究调查了对经历怀孕或新生儿死亡的父母的专业护理与长期悲伤障碍(PGD)和创伤后应激障碍(PTSD)症状水平之间的关系,以及助产士支持在失去孩子一个月后的作用。使用2016年至2021年期间经历过损失的732名丹麦父母的纵向数据,我们发现22.5% (n = 165)接受了专门护理。与标准治疗相比,专科治疗与较少的PGD和PTSD症状相关。此外,接受专门护理的父母报告的助产支持水平明显更高,因损失类型(流产/终止妊娠/死产/新生儿死亡)而异。虽然这项研究表明了对失去亲人的父母进行专门护理的好处,但应该进行进一步的研究来巩固这些发现。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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