Stillbirth
is legally defined as a baby born after the 24th week of pregnancy that has not breathed or shown any sign of life.
Theories
Theoretical ideas about how people grieve.
We were parents
You played hide and seek through our dreams for years before you arrived.
Then, once we’d tigged you
– that squirm of blur
inside that pulsing screen –
we lay at night trying not to giggle; straining to hear your heartbeat.
You made us laugh a lot,
and disagree, and talk till 3am
of names, and whose nose you’d get.
And then you, who had lived with us such a blink of time, left.
And we are left, holding
onto nothing but naming books, and our lurching world.
For you braced your whole 13 cm self, and threw our planet off its axis.
Reproduced with permission of poet and playwright, Char March, www.charmarch.co.uk
385
End of chapter activities
Find out more
The following activities will help you apply the content of this chapter to your place of work and enhance your knowledge of bereavement and loss.
1.
Read the local policies and guidelines relevant to the loss of a baby (at any stage of pregnancy and in the neonatal period). Ask colleagues about mementoes and other care practices within maternity and neonatal services.
2.
Find out about local support groups and the information available in your place of work about these groups. Do you need more information? Is there a need for more information about faith-based groups relevant to your client groups?
3.
Try and gain more information about the religious practices you are most likely to have to facilitate (e.g. if you have a high number of Muslim women accessing care try and find out what is required for the major groups within the Islamic faith). A genuine wish to improve services should be received well by religious leaders and groups, but you will need to ensure your approach is professional and tactful.
4.
Read more about theories of bereavement and loss using the references and further reading lists for this chapter and any other relevant material you may find.
386
References
Bowlby, J. (1973)
Attachment and Loss: Separation, Anxiety and Anger Vol II
. London: Hogarth Press. Buglass, E. (2010) Grief and bereavement theories.
Nursing Standard
24 (41), pp. 44–47.
Centre for Maternal and Child Enquiries (2011) Saving Mothers’ Lives.
BJOG
118, pp. 1–203.
Greenstreet, W. (2004) Why nurses need to understand the principles of bereavement theory.
British Journal of Nursing
13 (10), pp. 590–593.
Kohner, N., Henley, A. (2009)
When a Baby Dies: The Experience of Late Miscarriage, Stillbirth and Neonatal Death
(revised edn). London: Routledge.
Kübler-Ross, E. (1969)
On Death and Dying
. New York: Macmillan.
Mander, R. (2006)
Loss and Bereavement in Childbearing
. Abingdon: Routledge.
Nordlund, E. Borjesson, A. Cacciatore, J. Pappas, C. Randers, I., Radestad, I. (2012) When a baby dies: Moth- erhood, psychosocial care and negative affect.
British Journal of Midwifery
20 (11), pp. 780–784.
Parkes, C.M. (1998) Bereavement in adult life.
British Medical Journal
316 (7134), pp. 856–859.
Rando, T.A. (1985) Bereaved parents: particular difficulties, unique factors and treatment issues.
Social Work
30 (1), pp. 19–23.
Rando, T.A. (1986)
Parental Loss of a Child
. Champaign, IL: Research Press Company.
Rubin, S.S., Malkinson, R. (1993) The death of a child is forever: The life course impact of child loss. In: Stroebe, M.S., Stroebe, W., Hansson, R.O. (1993)
Handbook of Bereavement: Theory, Research and Inter- vention
. New York: Cambridge University Press, pp. 285–299.
Schott, J., Henley, A. (1996)
Culture, Religion and Childbearing in a Multiracial Society
. Oxford: Butterworth Heinemann.
Stillbirth Definition Act (1992) available on: http://www.legislation.gov.uk/ukpga/1992/29/pdfs/ukpga
_19920029_en.pdf
Stillbirth and Neonatal Death Charity (SANDS) (1995).
Stroebe, M.S. (1998) New directions in bereavement research: exploration of gender differences.
Palliative Medicine
12 (1), pp. 5–12.
Stroebe, M.S., Stroebe, W., Hansson, R.O. (1993)
Handbook of Bereavement: Theory, Research and Interven- tion
. Cambridge: Cambridge University Press.
Walter, T. (2010) Grief and culture: a checklist.
Bereavement Care
29 (2), pp. 5–9.
Worden, J.W. (1982)
Grief Counselling and Grief Therapy: A Handbook for the Mental Health Practitioner
. New York: Springer.
Worden, J.W. (1996)
Children and Grief: When a Parent Dies
. New York: Guilford Press.
Answers
Chapter 1 To be a Midwife
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Fundamentals of Midwifery: A Textbook for Students
, First Edition. Edited by Louise Lewis.© 2015 John Wiley & Sons, Ltd. Published 2015 by John Wiley & Sons, Ltd. Companion website: www.wileyfundamentalseries.com/midwifery388
Chapter 2 Teamworking
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