Differences within couples' experience of their hospital care and well-being three months after experiencing a stillbirth.
BACKGROUND
The present study aimed to investigate possible differences, within the couple, in their encounter with their stillborn child and the assistance of caregivers during the event and to evaluate the parents' psychological well-being three months after the stillbirth.


METHODS
Twenty-two couples, who experienced a stillbirth, participated in the study. A study-specific questionnaire and a previously evaluated well-being questionnaire were used to assess the parents' psychological condition. Chi-square analysis, Wilcoxon's signed rank test, Student's paired t-test, and Spearman's rank correlation coefficient were used to detect differences within the couples.


RESULTS
The parents had feelings of fear when they conceptualized the stillborn child, but with support from staff all but one couple held their child. The fathers had the same strong feelings of warmth, pride, tenderness, and grief as the mothers when they held the child. Most parents reported that the staff had treated them with understanding during the delivery. Three months after the event the mothers scored significantly higher on Negative Well-being, lower on Positive Well-being, and lower on General Well-being than the fathers. A majority of the mothers, but no fathers, were on sick leave three months after the event.


CONCLUSIONS
Our study suggests that mothers and fathers need to be emotionally supported in the encounter with their stillborn child. The mothers' scoring of lower well-being may be due to a stronger antenatal attachment to the child. This should, however, be a subject of further studies.
Säflund
Karin
K
Division of Nursing Research, Nya Hemmet, Karolinska University Hospital, S-171 76 Stockholm, Sweden. karin.saflund@ki.se
Wredling
Regina
R
D000328:Adult; D005260:Female; D006117:Grief; D006760:Hospitalization; D006801:Humans; D008016:Life Change Events; D008297:Male; D017063:Outcome Assessment, Health Care; D018743:Perinatal Care / Q000592:standards*; D049590:Postpartum Period; D011247:Pregnancy; D011569:Psychiatric Status Rating Scales; D012647:Self-Assessment; D018582:Sick Leave; D012944:Social Support; D018454:Spouses / Q000523:psychology*; D050497:Stillbirth / Q000523:psychology*; D011795:Surveys and Questionnaires; D013548:Sweden