Proceso de atención al parto en la muerte fetal tardía

  1. Paloma Martínez-Serrano
  2. Ana Mª Palmar-Santos
  3. Montserrat Solís-Muñoz
  4. Azucena Pedraz-Marcos
  5. Gema del Pliego-Pilo
  6. Mª Paz Alarcón-Diana
  7. Consuelo Álvarez-Plaza
Journal:
Metas de enfermería

ISSN: 1138-7262

Year of publication: 2018

Volume: 21

Issue: 7

Pages: 24-32

Type: Article

DOI: 10.35667/METASENF.2019.21.1003081278 DIALNET GOOGLE SCHOLAR

More publications in: Metas de enfermería

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.

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