Authors

Paloma Martínez-Serrano1, Ana Mª Palmar-Santos2, Montserrat Solís-Muñoz3, Azucena Pedraz-Marcos2, Gema del Pliego-Pilo4, Mª Paz Alarcón-Diana5, Consuelo Álvarez-Plaza6

Position

1Máster Investigación en Cuidados Universidad Complutense. Matrona. Departamento de Obstetricia y Ginecología. Hospital Universitario Puerta de Hierro Majadahonda. Madrid. Grupo de Investigación en Enfermería y Cuidados de Salud. Instituto de Investigación Sanitaria Puerta de Hierro-Segovia de Arana. Majadahonda (Madrid) 2Doctora. Profesora Departamento Enfermería Universidad Autónoma de Madrid. Madrid. Grupo de Investigación en Enfermería y Cuidados de Salud. Instituto de Investigación Sanitaria Puerta de Hierro-Segovia de Arana. Majadahonda (Madrid) 3Doctora en Cuidados en Salud Universidad Complutense. Responsable de Investigación en Cuidados. Hospital Universitario Puerta de Hierro Majadahonda. Madrid. Grupo de Investigación en Enfermería y Cuidados de Salud. Instituto de Investigación Sanitaria Puerta de Hierro-Segovia de Arana. Majadahonda (Madrid) 4Matrona. Servicio de Obstetricia y Ginecología. Hospital Universitario del Henares. Coslada (Madrid) 5Matrona. Centro de Salud Arganda-Felicidad. Arganda del Rey (Madrid) 6Doctora. Profesora Facultad de Ciencias Políticas y Sociología. Universidad Complutense de Madrid

Contact address

Paloma Martínez Serrano. Unidad Docente de Matronas de la Comunidad de Madrid. Paseo de la Castellana, 261. Edificio Norte. 28046 Madrid

Contact email: mpaloma.martinez@salud.madrid.org

Abstract

Objective: to analyze the evidence available about the delivery care process in late fetal death, allowing to learn about the experience and needs of mothers and fathers, and the challenges for the professionals managing these cases.
Method: a narrative review of qualitative studies published from 2005 to August, 2017 in the following databases: Pubmed, Cinahl, Embase, Scielo, Cuiden and Llilacs, on the area of late fetal death, according to its definition in the Spanish setting (from 28 gestation weeks onwards), and in the international setting (from week 24 of gestation). A themed analysis was conducted on the articles selected, and four theme areas were identified, based on the experience of mothers and fathers on one hand, and two theme areas according to the experience of professionals.
Results: seven qualitative articles were selected: four content analyses, two phenomenological analyses, and one grounded theory. The themes identified regarding the experience of mothers and fathers were associated with a devastating diagnosis, the initial goodbye, building maternity and paternity, and the impact of the action by professionals. The themes identified associated with the experience of professionals were: personal and professional impact, and case management.
Conclusions: this review shows the traumatic experience of mothers and fathers suffering a late fetal loss, as well as the personal impact on those professionals managing them, who will be faced with difficulties for addressing the case adequately, and demand specific training to help in the mourning process in an efficient way.

Keywords:

Obstetric delivery; fetal death; midwife; mourning; qualitative research

Versión en Español

Título:

Proceso de atención al parto en la muerte fetal tardía