Nursing approach in the perinatal grief in Spain. A bibliographic review.

Identifier:  TFG:2737

Handle: https://hdl.handle.net/20.500.11797/TFG2737

Authors:  Redondo Escribano, Violeta

Abstract:
Objective: describe nursing actions for the perinatal grief approach in articles published in Spain over the last 10 years. Methodology: a bibliographic review was carried out in the Pubmed, CINAHL, Scopus, Cuidatge, Dialnet Plus, Cochrane, Cuiden, Teseo and Google Scholar databases. Results: a total of 16 references that met the inclusion criteria have been analyzed. There is no conclusive procedure for attention to perinatal death, although parents should be allowed to have contact with their child, keep tangible memories -a practice uncommon in our country-, perform necropsy and perform post-mortem rituals, always encouraging informed decision-making. Nursing behaviour during childbirth consists in humanizing it and promoting parental participation. The midwife and nurse are the ideal professionals to provide care during bereavement, and the parents consider it their greatest support, but often they focus on physical care and evade emotional care, reason why they require specific training in the management of perinatal grief. There is controversy over the location of the puerperal room during hospitalization. There are few interventions described to be performed after discharge from hospital; the effectiveness of support groups is currently being investigated and a specific between births period is not recommended. Conclusions: training and communication skills ensure a comprehensive approach, while the individualized Nursing Care Process facilitates it. It should be allowed the contact with the child, create tangible memories and perform post-mortem rituals. The link between Primary and Hospital Care is essential for the follow-up of mourning beyond hospital discharge and during the next pregnancy.