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      Mothers’ experience of their contact with their stillborn infant: An interpretative phenomenological analysis

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          Abstract

          Background

          Guidelines surrounding maternal contact with the stillborn infant have been contradictory over the past thirty years. Most studies have reported that seeing and holding the stillborn baby is associated with fewer anxiety and depressive symptoms among mothers of stillborn babies than not doing so. In contrast, others studies suggest that contact with the stillborn infant can lead to poorer maternal mental health outcomes. There is a lack of research focusing on the maternal experience of this contact. The present study aimed to investigate how mothers describe their experience of spending time with their stillborn baby and how they felt retrospectively about the decision they made to see and hold their baby or not.

          Method

          In depth interviews were conducted with twenty-one mothers three months after stillbirth. All mothers had decided to see and the majority to hold their baby. Qualitative analysis of the interview data was performed using Interpretive Phenomenological Analysis.

          Results

          Six superordinate themes were identified: Characteristics of Contact, Physicality; Emotional Experience; Surreal Experience; Finality; and Decision. Having contact with their stillborn infant provided mothers with time to process what had happened, to build memories, and to ‘say goodbye’, often sharing the experience with partners and other family members. The majority of mothers felt satisfied with their decision to spend time with their stillborn baby. Several mothers talked about their fear of seeing a damaged or dead body. Some mothers experienced strong disbelief and dissociation during the contact.

          Conclusions

          Results indicate that preparation before contact with the baby, professional support during the contact, and professional follow-up are crucial in order to prevent the development of maternal mental health problems. Fears of seeing a damaged or dead body should be sensitively explored and ways of coping discussed. Even in cases where mothers experienced intense distress during the contact with their stillborn baby, they still described that having had this contact was important and that they had taken the right decision. This indicates a need for giving parents an informed choice by engaging in discussions about the possible benefits and risks of seeing their stillborn baby.

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          Most cited references49

          • Record: found
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          Reaching the parts other methods cannot reach: an introduction to qualitative methods in health and health services research.

          C Pope, N Mays (1995)
          Qualitative research methods have a long history in the social sciences and deserve to be an essential component in health and health services research. Qualitative and quantitative approaches to research tend to be portrayed as antithetical; the aim of this series of papers is to show the value of a range of qualitative techniques and how they can complement quantitative research.
            Bookmark
            • Record: found
            • Abstract: not found
            • Article: not found

            Dilemmas in qualitative health research

              Bookmark
              • Record: found
              • Abstract: not found
              • Article: not found

              Beyond the divide between cognition and discourse: Using interpretative phenomenological analysis in health psychology

                Bookmark

                Author and article information

                Contributors
                Journal
                BMC Pregnancy Childbirth
                BMC Pregnancy Childbirth
                BMC Pregnancy and Childbirth
                BioMed Central
                1471-2393
                2014
                13 June 2014
                : 14
                : 203
                Affiliations
                [1 ]Psychological Health Service, University Hospitals Bristol NHS Foundation Trust, Level 6 Paul O’Gorman Building, Upper Maudlin Street, Bristol BS2 8BJ, UK
                [2 ]Department of Psychology, University of Bath, Claverton Down, North East Somerset BA2 7AY, Bath, UK
                [3 ]Department of Clinical Health Psychology, Warwick Hospital, Lakin Rd, Warwick CV34 5BW, UK
                [4 ]Department of Child and Adolescent Psychiatry, Research Unit, University Hospital Lausanne, Rue du Bugnon 25 A, Lausanne CH-1011 Lausanne, Switzerland
                [5 ]Department of Neonatology, University Hospital Lausanne, Avenue Pierre-Decker 2, CH-1011 Lausanne, Switzerland
                Article
                1471-2393-14-203
                10.1186/1471-2393-14-203
                4062775
                24923242
                4addb13b-1711-42ba-b1c8-9c8b9c539fb7
                Copyright © 2014 Ryninks et al.; licensee BioMed Central Ltd.

                This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

                History
                : 9 January 2014
                : 9 June 2014
                Categories
                Research Article

                Obstetrics & Gynecology
                stillbirth,mothers,perinatal loss,grief,qualitative research,ipa,maternal mental health

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