Includes bibliography. / This study is an investigation of the psychosocial trauma of stillbirth and the implications of that trauma for case management. Stillbirth is considered a crisis for parents that calls for immediate intervention and constructive management. It strains family coping mechanisms and can overwhelm them if not properly handled. Additionally, a grief response follows a stillbirth which must be recognised, accepted, and treated therapeutically if needed. Parents' problems and needs have not been adequately met by medical, social or community services. There is also little recognition of the training needed by medical personnel in the management of stillbirths. Stillbirth is also a crisis for medical personnel as the delivery of a dead baby evokes feelings of confusion and stress for those dealing with the confinement and aftercare. By highlighting the psychological and emotional sequelae of stillbirths for parents, the needs of parents after the event, and the needs of personnel providing care, the writer intended to contribute to an improved understanding of the issues related to stillbirth and, ultimately, to more compassionate care for those who experience this unhappy event. Issues analyzed and recorded are as follows: The emotional and physical reactions of mothers following a stillbirth; the assistance that parents need in order to adjust constructively; the impact that the stillbirth has upon the family; the mothers' interpretation of their management in hospital; and the hospital and community services rendered and needed to assist with constructive adjustment. Study data was collected over a six month period. Subjects were selected from one hospital and were residents of the municipal areas of Cape Town. Two face-to-face interviews were conducted with each respondent using a semi-structured interview schedule. The first interview, which took place within a week of the mothers' discharge from hospital, gathered data on the reactions of the respondents to stillbirth, the impact of stillbirth on the family, and respondents' interpretation of their management in hospital. This interview was tape-recorded. The second interview followed the interview schedule and obtained information on the needs of families after a stillbirth. Data was coded on the interview schedules and statistical analysis was done by computer. The findings of this study agreed with previous ones, that mothers display typical grief reactions after a stillbirth. The stillbirth was experienced as a disappointment that caused significant distress for the majority of mothers. Management was found to be satisfactory with the exception of post-natal placement. The need for options in this area became evident. A lack of social and psychological services, both within the hospital and in the community, was found. Using knowledge gained from this study, a support organization for parents experiencing stillbirths has been organized with the writer's assistance. A breakdown in communication between the hospital and the local authority health nursing services, in terms of knowledge about the stillbirth, was apparent, and improvement in this area is needed. Recommended guidelines for management based on the research findings and literature review have been proposed. The role of the social worker, doctor and nursing sister have been outlined.

No description available.

Thesis (B.A.)--Haverford College, Dept. of Economics, 2007. / Includes bibliographical references.

Statistics Canada data indicates that between 2002 and 2006, the late stillbirth incidence (at or beyond 28 weeks gestation) was 3.0/1000 and 4.0/1000 among Canadian and Saskatchewan births respectively. This difference questions the characteristics and associations of late losses in our province; this work aims to assess late Saskatchewan stillbirths in regard to incidence, causes, characteristics, and area-level factors.<p> Accessing Vital Statistics cases (1987 to 2007, n=1119), descriptive statistics and incidence were examined utilizing Chi-square testing and Poisson regression. Associations between variables were evaluated by log-linear models. Area-level factors relating to incidence within census divisions were explored using Poisson regression.<p> Although some variation existed by time and region, women were most often less than 35 years, of moderate parity, non-Aboriginal, had no previous stillbirths, and were not carrying multiple fetuses. Approximately half of the losses were preterm and half were inadequately grown. Incidence per 1000 births differed significantly for Saskatchewan (3.86) and Canada (3.43) with only Canada declining. Several division values were also higher than Saskatoons Division 11. Associations were seen between characteristics; most notably the combination of Aboriginality, increased maternal age, and large-for-gestational-age appeared over-represented compared to live births. Regions with higher proportions of Aboriginal preschoolers or land area with herbicide application had higher incidence (RR = 1.53 and 1.55, p-value less than 0.001). Further work is required to understand Saskatchewans lack of decline, what can be done about areas where incidence is increased, the significance of the associated characteristics as actual risk factors, and how Aboriginality and herbicide influence risk at the individual level.

Statistics Canada data indicates that between 2002 and 2006, the late stillbirth incidence (at or beyond 28 weeks gestation) was 3.0/1000 and 4.0/1000 among Canadian and Saskatchewan births respectively. This difference questions the characteristics and associations of late losses in our province; this work aims to assess late Saskatchewan stillbirths in regard to incidence, causes, characteristics, and area-level factors.<p> Accessing Vital Statistics cases (1987 to 2007, n=1119), descriptive statistics and incidence were examined utilizing Chi-square testing and Poisson regression. Associations between variables were evaluated by log-linear models. Area-level factors relating to incidence within census divisions were explored using Poisson regression.<p> Although some variation existed by time and region, women were most often less than 35 years, of moderate parity, non-Aboriginal, had no previous stillbirths, and were not carrying multiple fetuses. Approximately half of the losses were preterm and half were inadequately grown. Incidence per 1000 births differed significantly for Saskatchewan (3.86) and Canada (3.43) with only Canada declining. Several division values were also higher than Saskatoons Division 11. Associations were seen between characteristics; most notably the combination of Aboriginality, increased maternal age, and large-for-gestational-age appeared over-represented compared to live births. Regions with higher proportions of Aboriginal preschoolers or land area with herbicide application had higher incidence (RR = 1.53 and 1.55, p-value less than 0.001). Further work is required to understand Saskatchewans lack of decline, what can be done about areas where incidence is increased, the significance of the associated characteristics as actual risk factors, and how Aboriginality and herbicide influence risk at the individual level.

Diss. (sammanfattning) Stockholm : Karol inst., 2003. / Härtill 4 uppsatser.

Thesis (M.N.)--Memorial University of Newfoundland, School of Nursing, 2001. / Typescript. Bibliography: leaves 138-148.

Diss. (sammanfattning) Stockholm : Karolinska institutet, 2002. / Härtill 6 uppsatser.

Thesis (MA. (Clinical Psychology)) -- University of Limpopo, 2013 / The current study aimed at investigating the relationship between attitudes towards termination of pregnancy (TOP) and family structure and functioning, religiosity, and death anxiety. Participants of this study consisted of 330 school-going, adolescent, female participants aged 12 to 19 years. The results indicated that no relationship exists between attitudes towards TOP and the type of family structure from which an individual stems. The relationship between attitudes towards TOP and the Family Assessment Device (FAD) general family functioning scale did not reach statistical significance either. When attitudes towards TOP were correlated with the more specific family functioning subscales, the FAD problem-solving subscale was negatively associated with attitudes towards TOP. Additionally, the relationship between attitudes towards TOP and death anxiety was not statistically significant. However, analysis indicated that there is a statistically significant, negative relationship between attitudes towards TOP and intrinsic religiosity among school-going adolescents. Final analysis involved the regression of variables of FAD problem-solving and intrinsic religiosity on attitudes towards TOP. Both intrinsic religiosity and FAD problem-solving scores were predictors of attitudes towards TOP.

Bakgrunn: Intrauterin fosterdød er en hendelse som har ringvirkninger langt utover den rammede kvinnen og hennes familie. Det handler i sin ytterste mening om kvinner og barns helse og likhet i helse for alle. Utviklingen mot et flerkulturelt samfunn innebærer andre utfordringer enn tidligere i forhold til kultur, kommunikasjon, kvinne-og familieperspektiv, livsstil og medisinske problemstillinger. Formål: Denne studiens formål har vært å kartlegge forekomsten av intrauterin fosterdød (IUFD) hos innvandrerkvinner sammenlignet med svenske kvinner, og å undersøke faktorer som kan være assosiert med IUFD. Materiale og metode: Registerdata på 904 646 fødte og deres mødre i perioden 1992-2001 ble undersøkt med bivariate analyser. Det ble også gjort en systematisk litteraturgjennomgang av relevant nasjonal og internasjonal forskning på feltet. Resultat: Analysen viser en økt risiko for IUFD hos innvandrerkvinnene sammenlignet med svenske kvinner. IUFD forekommer oftere hos de ikke-europeiske innvandrerkvinnene;OR:1,45(95% CI 1,28-1,63). Litteraturgjennomgangen viser at ikke-europeiske innvandrerkvinner har 2-3 ganger så høy risiko for IUFD sammenlignet med totalpopulasjonen, men også at lav sosio-økonomisk status (SøS), alder, inngifte, røyking, reduksjon av medisinske risikofaktorer og kvaliteten på den antenatale omsorgen påvirker den perinatale dødeligheten. Konklusjon: En forbedret folkehelse i Norden de siste tiårene har bidratt til en reduksjon av den perinatale dødeligheten. Men ikke alle befolkningsgrupper har fått tatt del av denne utviklingen. De ikke-europeiske innvandrerkvinnene har signifikant høyere odds for IUFD. De har ofte lav SøS, hvilket i seg selv er assosiert med IUFD. Kunnskap om ulikheter i helse og sykdom blant ulike kategorier mennesker i samfunnet vårt er viktig og kan bidra til en mer tilpasset omsorg og en bedre medisinsk behandling. Det er behov for videre forskning fra flere fagområder for å kunne kartlegge livsstil, levekår og effekten av språkbarrierene og for å få en oppfatning om hvordan ulikheter i helse kan utjevnes. / Background: Stillbirths or intrauterine fetal death have wide effects on families. This is  about women’s and children’s health as well as equity in health for all. As Sweden becomes more multicultural, new challenges in equity on women’s and children’s health develope related to culture, communication, women –and family matters, lifestyle and medical issues. Aim: The aim of this study was to assess the occurence of stillbirths in immigrant women compared to Swedish women and investigate factors related to stillbirths. Method: Data from 904 646 newborns and their mothers during the period 1992-2001 was analysed using bivariat analyses. A literature study was undertaken with a systematic appraisal of relevant national and international research in the field. Results: The analyses showed that stillbirth was more common in non-European immigrant women. OR: 1,45 (95% CI 1,28-1,63). Non-European immigrant women in Sweden had higher odds of stillbirths compared to the background population. The litterature showed that non-European immigrant women have 2-3 times the risk of stillbirths, and the risk of stillbirths is also increased in women of lower socioeconomic status (SES). Other risk factors indicated to be important are age, consanguinity, smoking and the quality of perinatal care. Conclusions: Non-European immigrant women in Sweden have higher odds of stillbirths compared to the background population. These women also have an increased risk of low SES, which is itself a riskfactor of stillbirth. Appropriate knowledge of difference in health needs in different groups in the community is important for filling the health care needs and improving the medical treatments. Further research is needed from different sectors to assess the importance of lifestyle, language limitations and how these women are treated by the health care system. / <p>ISBN 978-91-85721-30-6</p>