ABSTRACT
OBJETIVO: Analizar las intervenciones que llevan a cabo los profesionales para mejorar la atención brindada a las mujeres y a sus parejas ante una pérdida perinatal. MÉTODO: Es una revisión de la bibliografía internacional publicada en los últimos 10 años sobre intervenciones para mejorar la atención que se brinda a las parejas ante la muerte de un hijo. RESULTADOS: Se observa un déficit en la formación de los profesionales sanitarios relacionada con este tema y se identifican nuevas actuaciones cuyo objetivo es mejorar la atención a las parejas. CONCLUSIONES: No podemos concluir que la «creación de recuerdos» mejore los resultados psicosociales, pero sí la información adaptada durante el proceso, y la matrona es la profesional idónea para ello. No obstante, es necesario mejorar la formación y los recursos de los profesionales para poder ofrecer una atención de calidad
OBJECTIVES: The main objective of this review is to analyze the interventions carried out by professionals to improve the care provided to women and their partners in the face of perinatal loss. METHOD: Is a review of the literature published in the last 10 years on interventions to improve the care provided to couples on the death of a child worldwide. RESULTS: Show a deficit in the training of health professionals related to this topic and identify new actions that aim to improve care for couples. CONCLUSIONS: We cannot conclude that the «creation of memories» improves the psychosocial results, but if the information adapted during the process, and the midwife is the ideal professional for it. However, it is necessary to improve the training and resources of professionals in order to offer quality care
Subject(s)
Humans , Male , Female , Perinatal Death , Attitude to Death , Parents/psychology , Midwifery/education , Perinatal Care , Grief , Professional Role/psychologyABSTRACT
The objective of this study was to evaluate the effect of anxiety-reducing techniques including music therapy, sophrology, and creative visualization in pregnant women with a fetus diagnosed as small for gestational age and improved fetal and neonatal weight. This was a quasi-experimental study with a nonrandomized clinical trial design. We compared 2 groups of pregnant women with a fetus diagnosed as small for gestational age with no abnormalities on Doppler studies. The control group (n = 93) received standard care, and the intervention group (n = 65), in addition to standard care, underwent a program of 6 sessions led by a midwife or nurse who taught anxiety-reduction techniques. The State-Trait Anxiety Inventory (STAI) including trait and state subscales were completed by both groups at the start of the study, and only the STAI-State subscale was completed again at the end of the study. Comparisons between the 2 groups regarding fetal weight and centile and maternal STAI scores were performed using the t test and the χ test. There were no significant differences in the STAI-Trait scores between the 2 groups. There were statistically significant differences in the intervention group's STAI-State score percentiles between the start and the end of the study, being lower at the end of the study (P < .001). There were significant differences between the 2 groups in fetal weight trajectory on the basis of fetal weight: the intervention group had a larger weight gain (P < .005). The program designed to reduce anxiety in pregnant women was effective at reducing anxiety in the women in the intervention group, leading to a favorable fetal weight trajectory in this group.
