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The effect of a coping program on mothers’ grief following perinatal deaths
BACKGROUND: Mother–child attachment is formed from early stages of pregnancy and peaks in the second trimester and continues until after childbirth. The fetal or neonatal death as a tragic event could lead to the grief experience among parents, especially mothers. The present study aimed to determin...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer - Medknow
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9621366/ https://www.ncbi.nlm.nih.gov/pubmed/36325232 http://dx.doi.org/10.4103/jehp.jehp_1156_21 |
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author | Nournorouzi, Leila Nourizadeh, Roghaiyeh Hakimi, Sevil Esmaeilpour, Khalil Najmi, Leila |
author_facet | Nournorouzi, Leila Nourizadeh, Roghaiyeh Hakimi, Sevil Esmaeilpour, Khalil Najmi, Leila |
author_sort | Nournorouzi, Leila |
collection | PubMed |
description | BACKGROUND: Mother–child attachment is formed from early stages of pregnancy and peaks in the second trimester and continues until after childbirth. The fetal or neonatal death as a tragic event could lead to the grief experience among parents, especially mothers. The present study aimed to determine the effect of a coping program on mothers’ grief following perinatal deaths. MATERIALS AND METHODS: This trial study was performed on 56 women with the experience of perinatal death during the last 1–3 months with a score of Perinatal Grief Scale (PGS) ≥91, who were referred to the health centers of Tabriz, Iran, from September 2020 to June 2021. Participants were randomly assigned into the intervention and control groups through stratified blocking on the basis of the stillbirth and neonatal death using Random Allocation Software with a block size of 4 and 6 with a ratio of 1:1. The intervention group received a coping program individually during three sessions, once a week for 45–60 min. Data collection tools included the demographic and obstetric characteristic questionnaire and PGS. The data were analyzed using SPSS(24.) The groups were compared through t-test, and ANCOVA after adjusting the effect of baseline score. RESULTS: Prior to coping program, the mean standard deviation of the grief total score was 108.32 (14.31) in the intervention group and 107.92 (6.65) in the control group (P = 0.89). After coping program, the mean of the grief total score was 82.28 (16.72) in the intervention group and 101.05 (12.78) in the control group. After adjusting the effect of baseline score and stratified factors, the mean of the grief total score in the intervention group was significantly lower than that in the control group [Adjusted mean difference (AMD): −18.77, 95% confidence interval: −26.79 to − 10.75, P ≤ 0.001]. CONCLUSION: Conducting a coping program during 1–3 months after experiencing perinatal deaths is effective in reducing the mothers’ grief reactions. It is recommended to evaluate the effectiveness of the same intervention after perinatal deaths for both parents with a longer follow-up period in further studies. |
format | Online Article Text |
id | pubmed-9621366 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Wolters Kluwer - Medknow |
record_format | MEDLINE/PubMed |
spelling | pubmed-96213662022-11-01 The effect of a coping program on mothers’ grief following perinatal deaths Nournorouzi, Leila Nourizadeh, Roghaiyeh Hakimi, Sevil Esmaeilpour, Khalil Najmi, Leila J Educ Health Promot Original Article BACKGROUND: Mother–child attachment is formed from early stages of pregnancy and peaks in the second trimester and continues until after childbirth. The fetal or neonatal death as a tragic event could lead to the grief experience among parents, especially mothers. The present study aimed to determine the effect of a coping program on mothers’ grief following perinatal deaths. MATERIALS AND METHODS: This trial study was performed on 56 women with the experience of perinatal death during the last 1–3 months with a score of Perinatal Grief Scale (PGS) ≥91, who were referred to the health centers of Tabriz, Iran, from September 2020 to June 2021. Participants were randomly assigned into the intervention and control groups through stratified blocking on the basis of the stillbirth and neonatal death using Random Allocation Software with a block size of 4 and 6 with a ratio of 1:1. The intervention group received a coping program individually during three sessions, once a week for 45–60 min. Data collection tools included the demographic and obstetric characteristic questionnaire and PGS. The data were analyzed using SPSS(24.) The groups were compared through t-test, and ANCOVA after adjusting the effect of baseline score. RESULTS: Prior to coping program, the mean standard deviation of the grief total score was 108.32 (14.31) in the intervention group and 107.92 (6.65) in the control group (P = 0.89). After coping program, the mean of the grief total score was 82.28 (16.72) in the intervention group and 101.05 (12.78) in the control group. After adjusting the effect of baseline score and stratified factors, the mean of the grief total score in the intervention group was significantly lower than that in the control group [Adjusted mean difference (AMD): −18.77, 95% confidence interval: −26.79 to − 10.75, P ≤ 0.001]. CONCLUSION: Conducting a coping program during 1–3 months after experiencing perinatal deaths is effective in reducing the mothers’ grief reactions. It is recommended to evaluate the effectiveness of the same intervention after perinatal deaths for both parents with a longer follow-up period in further studies. Wolters Kluwer - Medknow 2022-08-25 /pmc/articles/PMC9621366/ /pubmed/36325232 http://dx.doi.org/10.4103/jehp.jehp_1156_21 Text en Copyright: © 2022 Journal of Education and Health Promotion https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Original Article Nournorouzi, Leila Nourizadeh, Roghaiyeh Hakimi, Sevil Esmaeilpour, Khalil Najmi, Leila The effect of a coping program on mothers’ grief following perinatal deaths |
title | The effect of a coping program on mothers’ grief following perinatal deaths |
title_full | The effect of a coping program on mothers’ grief following perinatal deaths |
title_fullStr | The effect of a coping program on mothers’ grief following perinatal deaths |
title_full_unstemmed | The effect of a coping program on mothers’ grief following perinatal deaths |
title_short | The effect of a coping program on mothers’ grief following perinatal deaths |
title_sort | effect of a coping program on mothers’ grief following perinatal deaths |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9621366/ https://www.ncbi.nlm.nih.gov/pubmed/36325232 http://dx.doi.org/10.4103/jehp.jehp_1156_21 |
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