Email this article Medical and psychological support of women with stillbirth in the perinatal period: a national study
- Authors: Mysovskaya Y.S.1, Marshalov D.V.1, Shifman E.M.2, Shindyapina N.V.1
-
Affiliations:
- Saratov State Medical University named after V.I. Razumovsky, 410012
- M.F. Vladimirskiy Moscow Regional Research Clinical Institute
- Issue: Vol 14, No 4 (2020)
- Pages: 176-184
- Section: Original articles
- URL: https://journals.rcsi.science/1993-6508/article/view/62374
- DOI: https://doi.org/10.17816/1993-6508-2020-14-4-176-184
- ID: 62374
Cite item
Open Access
Access granted
Subscription Access
Abstract
In the Russian Federation, the stillbirth rate in 2018 was 5.51 per 1000 live and dead births, which is almost twice the figure in the United States and Europe. This study aimed to conduct a rating analysis separately for each factor that influences the selection of techniques for the management of labor and the postpartum period in women with stillbirth.
Material and methods. A questionnaire was developed, which consisted 23 questions in Russian. A total of 402 Russian-speaking medical workers took part in the survey.
Results. In this study, 49.7% of the respondents seldom encounter patients with stillbirth. Moreover, 59.5% of the respondents find it easy to create a supportive communication with these patients, 70% believed that contact between the mother and her stillborn child has a negative influence on her psychoemotional state both at the time of delivery and in the long term, and only 27.7% found that mothers wanted to spend time with the child. As the optimal method of analgesia, 57.2% of the respondents chose epidural analgesia for stillbirth delivery. Furthermore, 57.7% believed that patients with stillbirth were satisfied with the quality of medical care, and 74.1% gave a positive assessment of the quality of medical care provided to patients with stillbirth in their medical institutions. Moreover, medical professionals (89.3%) consider it necessary to develop clinical recommendations on this problem.
Conclusions. The results indicate that a unified technique of managing the peripartum period with stillbirth is still not established. Clinical guidelines on this problem are necessary.
Keywords
Full Text
##article.viewOnOriginalSite##About the authors
Yulya S. Mysovskaya
Saratov State Medical University named after V.I. Razumovsky, 410012
Author for correspondence.
Email: yulya-mys@yandex.ru
ORCID iD: 0000-0002-0544-7886
MD, Assistant of the Department of Obstetrics and Gynecology, Medical Faculty, Saratov State Medical University named after Razumovsky
Russian Federation, 112, Bolshaya Kazachia street, 410012D. V. Marshalov
Saratov State Medical University named after V.I. Razumovsky, 410012
Email: yulya-mys@yandex.ru
ORCID iD: 0000-0002-8774-0700
Russian Federation, 112, Bolshaya Kazachia street, 410012
E. M. Shifman
M.F. Vladimirskiy Moscow Regional Research Clinical Institute
Email: yulya-mys@yandex.ru
ORCID iD: 0000-0002-6113-8498
Russian Federation, 61/2, Shepkina street, Moscow, 129110
N. V. Shindyapina
Saratov State Medical University named after V.I. Razumovsky, 410012
Email: yulya-mys@yandex.ru
ORCID iD: 0000-0002-7124-3697
Russian Federation, 112, Bolshaya Kazachia street, 410012
References
- Ageeva LI, Aleksandrova GA, Zaychenko NM, Kirillova GN, Leonov SA, Ogryzko EV, Titova IA, et al. Healthcare indicators in Russia. 2019. Statistical collection. Federal’naya sluzhba gosudarstvennoy statistiki. Moscow; 2019:170. (In Russ).
- Spiridonov VA, Latfullina RR. Medical and legal aspects of assessing the provision of medical care in cases of fetal death. Meditsinskoe pravo: teoriya i praktika. 2018;4(2):74–80. (In Russ).
- Reinebrant HE, Leisher SH, Coory M, Henry S, Wojcieszek AM, Gardener G, Flenady V. Making stillbirths visible: a systematic review of globally reported causes of stillbirth. BJOG: An International Journal of Obstetrics & Gynaecology. 2017;125(2):212–224. doi: 10.1111/1471-0528.14984.
- Monostori D, Dombi E, Zelena A. Wrong communication panels for perinatal loss. Orvosi hetilap. 2018;159(25):1033–1036. doi: 10.1556/650.2018.31006.
- Ananthram H, Apostoloff A, Becker J, Bolton E, Booker C, Bousfield A, et al. Stillbirth care. Queensland Clinical Guidelines. 2019;34.
- Bennett SM, Litz BT, Maguen S, Ehrenreich JT. An Exploratory Study of the Psychological Impact and Clinical Care of Perinatal Loss. Journal of Loss and Trauma. 2008;13(6):485–510. doi: 10.1080/15325020802171268.
- DiMiceli-Zsigmond M, Williams AK, Richardson MG. Expecting the Unexpected. Anesthesia & Analgesia. 2015;121(2): 457–464. doi: 10.1213/ane.0000000000000785.
- Christiansen DM. Posttraumatic stress disorder in parents following infant death: A systematic review. Clinical Psychology Review. 2017;51:60–74. doi: 10.1016/j.cpr.2016.10.007.
- Gravensteen I, Helgadottir L, Jacobsen E, Radestad I, Sandset P, Ekeberg O. Women’s experiences in relation to stillbirth and risk factors for long-term post-traumatic stress symptoms: a retrospective study. BMJ Open. 2013;3(10). doi: 10.1136/bmjopen-2013-003323.
- Ryninks K, Roberts-Collins C, McKenzie-McHarg K, Horsch A. Mothers’ experience of their contact with their stillborn infant: An interpretative phenomenological analysis. BMC Pregnancy and Childbirth. 2014;14(1). doi: 10.1186/1471-2393-14-203.
Supplementary files
