Pregnancy subsequent to stillbirth: Medical and psychosocial aspects of care

Megan E Fockler; Noor Niyar N Ladhani; Jo Watson; Jon F R Barrett

doi:10.1016/j.siny.2017.02.004

Pregnancy subsequent to stillbirth: Medical and psychosocial aspects of care

Semin Fetal Neonatal Med. 2017 Jun;22(3):186-192. doi: 10.1016/j.siny.2017.02.004. Epub 2017 Mar 3.

Authors

Megan E Fockler¹, Noor Niyar N Ladhani², Jo Watson³, Jon F R Barrett⁴

Affiliations

¹ Women and Babies Program, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada; Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, Ontario, Canada. Electronic address: megan.fockler@sunnybrook.ca.
² Women and Babies Program, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada; Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynaecology, University of Toronto, Toronto, Ontario, Canada; Maternal Fetal Medicine, Sunnybrook Health Science Centre, Toronto, Ontario, Canada.
³ Women and Babies Program, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada; Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, Ontario, Canada.
⁴ Women and Babies Program, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada; Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynaecology, University of Toronto, Toronto, Ontario, Canada; Maternal Fetal Medicine, Sunnybrook Health Science Centre, Toronto, Ontario, Canada; Clinical Trials Services/The Centre for Mother, Infant and Child Research, Toronto, Ontario, Canada.

PMID: 28262391
DOI: 10.1016/j.siny.2017.02.004

Abstract

Pregnancy after stillbirth presents unique challenges for families and healthcare providers. Medical surveillance and interventions must be optimized to improve outcomes and provide individualized support for families. A key component of acceptable care is psychosocial support that is delivered in a timely and sensitive manner by care providers with knowledge about the pervasive impact of stillbirth. With the lack of existing evidence to guide care, there is an urgent need for global leadership and research to address knowledge gaps.

Keywords: Maternal health; Mental health; Pregnancy; Psychosocial support; Stillbirth; Subsequent Pregnancy.

Publication types

Review

MeSH terms

Cost of Illness*
Evidence-Based Medicine*
Family / psychology
Female
Global Health*
Humans
Parenting / psychology
Precision Medicine*
Pregnancy
Prenatal Care* / psychology
Prenatal Care* / trends
Psychosocial Support Systems
Quality of Health Care*
Secondary Prevention
Stillbirth* / psychology