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Psychological aspects of perinatal loss.

机译:围产期丢失的心理方面。

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PURPOSE OF REVIEW: Parents are attached to their unborn children, and loss around the time of birth is a serious trauma. Parental grief is a normal response, and may last for many months. Clinicians have always sought to implement practices that will help recovery, and for a generation, have advocated that parents have contact with the body of their dead infant, believing that this will facilitate mourning. Review of the literature shows that no previous systematic evidence has ever been offered to support this practice. RECENT FINDINGS: Recent research throws doubt on the therapeutic value of the practice of encouraging contact with the dead infant. These findings are outlined and discussed. SUMMARY: Following an outline of what is already known about the psychological effects of perinatal loss, the paper focuses on the evidence that aspects of psychosocial management are associated with better outcomes. It goes on to describe the cultural context in which psychosocial management changed and parents were first encouraged to see and handle their dead infant, and explores the distinction between the medical and cultural models which may frame this behaviour in very different ways. Finally, it briefly discusses the ethical position of staff who advise parents about their choice to see or not see their infant's body.
机译:审查目的:父母对未出生的孩子有依恋,在出生时流失是一种严重的创伤。父母的悲伤是正常的反应,可能持续很多个月。临床医生一直在寻求实施有助于康复的方法,并且一代又一代人主张父母与死婴的身体接触,认为这将有助于哀悼。文献回顾表明,以前没有系统的证据可以支持这种做法。最近的发现:最近的研究对鼓励与死婴接触的做法的治疗价值提出了怀疑。这些发现概述和讨论。简介:在概述了围产期丧失的心理影响的已知知识之后,本文重点研究了心理社会管理方面与更好的预后相关的证据。它继续描述了心理社会管理发生变化的文化背景,并首先鼓励父母去看望和处理他们的死婴儿,并探讨了医学和文化模型之间的区别,这种区别可能以不同的方式构成这种行为。最后,它简要讨论了向父母建议父母选择看或不看婴儿身体的工作人员的道德立场。

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