Martina Peracchini, Andrea Agostini, Alessio D'Angelo, Teresa Sicignano, Giancarlo Santoni, Enrico Finale, Mauro Ceccanti, Monica Napolitano, Marco Fiore, Luigi Tarani, Katarzina Anna Dylag, Marisa Patrizia Messina
{"title":"The psychological support for women who underwent a stillbirth during their pregnancy: the quality of midwifery care.","authors":"Martina Peracchini, Andrea Agostini, Alessio D'Angelo, Teresa Sicignano, Giancarlo Santoni, Enrico Finale, Mauro Ceccanti, Monica Napolitano, Marco Fiore, Luigi Tarani, Katarzina Anna Dylag, Marisa Patrizia Messina","doi":"10.1708/4064.40476","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>This review aims to investigate the role of midwifery care in perinatal death. Specifically, it aims to investigate the type and implications in the clinical practice of psychological and psychiatric support interventions for women/couples.</p><p><strong>Methods: </strong>A scoping review was conducted following the PRISMA methodology. For this purpose, the following databases were queried: PubMed, APA PsycInfo, CINAHL Plus with Full Text, and ERIC, considering only studies published in the 2002-2022 time frame.</p><p><strong>Results: </strong>14 studies were found to be eligible by the literature review. These researches were divided into 3 macro-topics representing the most crucial factors in influencing the quality of care: the healthcare setting, the experience and training of caregivers, and the experience of parents.</p><p><strong>Discussion: </strong>The healthcare figure who experiences such a tragic event most closely is the midwife. The health and geographic context in which care is provided - understood to be low-medium-high resources - have a fundamental impact on the quality of midwifery care and caregiver satisfaction. The training was found to be incomplete, and midwives' experiences revealed how they felt unprepared. Parents' experiences indicate the need for multidisciplinary care, better communicability, and follow-up including psychological/psychiatric support for mothers who are increasingly alone in coping with bereavement. To date, there are no guidelines for psychological support for this specific event in the literature.</p><p><strong>Conclusions: </strong>Birth-death management should be a structured part of professional courses so that new generations of midwives can improve the quality of care for affected families. Future research should focus on how to improve communication processes, and hospital centers should adopt protocols adapted to the needs of parents, including a midwifery-led model policy based on psychological support for the mothers/couples involved, as well as increase follow-ups.</p>","PeriodicalId":21506,"journal":{"name":"Rivista di psichiatria","volume":"58 4","pages":"143-153"},"PeriodicalIF":1.0000,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Rivista di psichiatria","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1708/4064.40476","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"PSYCHIATRY","Score":null,"Total":0}
引用次数: 0
Abstract
Purpose: This review aims to investigate the role of midwifery care in perinatal death. Specifically, it aims to investigate the type and implications in the clinical practice of psychological and psychiatric support interventions for women/couples.
Methods: A scoping review was conducted following the PRISMA methodology. For this purpose, the following databases were queried: PubMed, APA PsycInfo, CINAHL Plus with Full Text, and ERIC, considering only studies published in the 2002-2022 time frame.
Results: 14 studies were found to be eligible by the literature review. These researches were divided into 3 macro-topics representing the most crucial factors in influencing the quality of care: the healthcare setting, the experience and training of caregivers, and the experience of parents.
Discussion: The healthcare figure who experiences such a tragic event most closely is the midwife. The health and geographic context in which care is provided - understood to be low-medium-high resources - have a fundamental impact on the quality of midwifery care and caregiver satisfaction. The training was found to be incomplete, and midwives' experiences revealed how they felt unprepared. Parents' experiences indicate the need for multidisciplinary care, better communicability, and follow-up including psychological/psychiatric support for mothers who are increasingly alone in coping with bereavement. To date, there are no guidelines for psychological support for this specific event in the literature.
Conclusions: Birth-death management should be a structured part of professional courses so that new generations of midwives can improve the quality of care for affected families. Future research should focus on how to improve communication processes, and hospital centers should adopt protocols adapted to the needs of parents, including a midwifery-led model policy based on psychological support for the mothers/couples involved, as well as increase follow-ups.
目的:本综述旨在探讨助产护理在围产期死亡中的作用。具体而言，它旨在调查妇女/夫妇的心理和精神支持干预的类型及其在临床实践中的意义。方法:按照PRISMA方法进行范围审查。为此，我们查询了以下数据库:PubMed, APA PsycInfo, CINAHL Plus with Full Text和ERIC，仅考虑2002-2022年期间发表的研究。结果:文献综述共纳入14项研究。这些研究分为三个宏观主题，代表了影响护理质量的最关键因素:医疗环境，护理人员的经验和培训，以及父母的经验。讨论:与这种悲剧性事件经历最密切的医疗保健人员是助产士。提供护理的卫生和地理环境(被理解为低、中、高资源)对助产护理的质量和护理人员满意度有根本影响。培训被发现是不完整的，助产士的经历揭示了他们是如何感到措手不及。父母的经验表明，需要多学科的护理，更好的沟通，以及对那些越来越孤独地应对丧亲之痛的母亲的后续支持，包括心理/精神支持。到目前为止，文献中还没有针对这一特定事件的心理支持指南。结论:出生死亡管理应成为专业课程的一个结构化部分，以便新一代助产士能够提高对受影响家庭的护理质量。未来的研究应侧重于如何改善沟通过程，医院中心应采用适应父母需求的协议，包括助产士主导的基于对所涉及的母亲/夫妇的心理支持的模式政策，以及增加随访。
期刊介绍：
Gli interessi della rivista riguardano l’approfondimento delle interazioni tra mente e malattia, la validazione e la discussione dei nuovi strumenti e parametri di classificazione diagnostica, la verifica delle prospettive terapeutiche farmacologiche e non.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
