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Publication Date: 
March, 2017
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Brief Summary: 

The present study examines the psychosocial implications of experiencing a stillbirth.


The present study examines the psychosocial implications of experiencing a stillbirth. This theoretical study analyzes the existing scholarly data of this unrecognized issue. A systematic review was adopted for this study to address the research questions presented as well as to examine any links, inconsistencies, or gaps in the information offered. The present study examines what psychological impact the hospital response to a stillbirth has on the parents. A review of the psychological consequences that may result from experiencing a stillbirth is presented. Finally, an analysis of the psychological impact on parents during and after a subsequent pregnancy, and the impact on live-born children in regards to development and attachment is given.


Alhusen, J. L. (2008). A Literature Update on Maternal-Fetal Attachment. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 37(3), 315–328.

Armstrong, D. (2002). Emotional distress and prenatal attachment in pregnancy after perinatal loss. Journal of Nursing Scholarship, 34(4), 393-345.

Armstrong, D. (2004). Impact of perinatal loss on subsequent pregnancies. JOGNN Clinical Research, 33, 765-773.

Armstrong, D., Hutti, M., & Myers, J. (2009). The influence of prior perinatal loss on parents’ psychological distress after the birth of a subsequent healthy infant. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 38(6), 1-20.

Babb, J., Deligiannidia, K., Murgatroyd, C., & Nephew, B. (2016). Peripartum depression and anxiety as an integrative cross domain target for psychiatric preventative measures. Behavioral Brain Research, 1, 32-44.

Barker, E., Jaffee, S., Uher, R., & Maughan, B. (2011). The contribution of prenatal and postnatal maternal anxiety and depression to child maladjustment. Depression and Anxiety, 28(8), 696-702.

Barr, P. (2012). Negative self-conscious emotion and grief: an actor-partner analysis in couples bereaved by stillbirth or neonatal death. Psychology and Psychotherapy: Theory, Research, and Practice, 85, 310-326.

Bennet, S., Ehrenreich, J., Litz, B., Boisseau, C., & Barlow, D. (2012). Development and preliminary evaluation of a cognitive-behavioral intervention for perinatal grief. Cognitive and Behavioral Practice, 19, 161-173.

Brandon, A., Pitts, S., Denton, W., Stringer, C., & Evans, H. (2009). A history of the theory of prenatal attachment. Journal of Prenatal & Perinatal Psychology & Health, 23(4), 201–222.

Blackmore, E. R., Côté-Arsenault, D., Tang, W., Glover, V., Evans, J., Golding, J., & O’Connor, T. G. (2011). Previous prenatal loss as a predictor of perinatal depression and anxiety. The British Journal of Psychiatry, 198(5), 373–378.

Bowlby J. (1969). Attachment and Loss Volume I: Attachment. New York: Basic Books, Inc.

Bowlby, J. (1980). Attachment and loss: vol 3. Loss: sadness and depression. Basic Books, New York.

Cacciatore, J,. & Bushfield, S. (2007). Stillbirth: the mother’s experience and implications for improving care. Journal of Social Work in End of Life and Palliative Care, 3(3), 59-79.

Cacciatore, J. (2009). The silent birth: a feminist perspective. Social Work, 54(1), 91-95.

Cacciatore, J. (2010). The unique experiences of women and their families after the death of a baby. Social Work and Health Care, 49, 134-148.

Cacciatore, J. (2013). Psychological effects of stillbirth. Seminars in Fetal and Neonatal Medicine, 18, 76-82.

Cacciatore, J., Froen, J., & Killian, M. ( 2013). Condemning self, condemning other: blame and mental health in women suffering a stillbirth. Journal of Mental Health Counseling, 35(4), 342-359.

Campbell-Jackson, L., Bezance, J., & Horsch, A. (2014). BMC Pregnancy and Childbirth, 14, 423-438.

Cholenta, C., Harris, S., Reilly, N., Forder, P., Austin, M., & Loxton, D. (2014). History of pregnancy loss increases the risk of mental health problems in subsequent pregnancies but not in the postpartum. PLoS One, 9(4), 5.

Cooper, H. M., Hedges, L. V., & Valentine, J. C. (2008). The handbook of research synthesis and meta-analysis (2nd ed.). New York: Russell Sage Foundation.

Cote-Arsenault, D., & Dombeck, M. (2001). Maternal assignment of fetal personhood to a previous pregnancy loss: relationship to anxiety in the current pregnancy. Health Care for Women International, 22(7), 649-665.

Crawley, R., Lomax, S., & Ayers, S. (2013). Recovering from stillbirth: the effects of making and sharing memories on maternal mental health. Journal of Reproductive and Infant Psychology, 31(2), 195-207.

Creswell, J. W. (2013). Qualitive Inquiry & Research Design. Thousand Oaks, CA: Sage Publications.

Cronin, P., Ryan, F., & Coughlan, M. (2008). Undertaking a literature review: a step by step approach. British Journal of Nursing, 17(1), 38-43.

Froen, J., Cacciatore, J., McClure, E., Kuti, O., Jokhio, A., Islam, M., & Shiffman, J. ( 2011). Stillbirths: why they matter. The Lancet. 377(9774), 1353-1366.

Darmstadt, G. (2011) Stillbirths: missing from the family and from public health. Lancet, 377(9777), 1550-1551.

Diego, M., Field, T., Hernandez-Reif, M., Cullen, C., Schanberg, S., & Kuhn, C. (2004). Prepartum, postpartum, and chronic depression effects on newborns. Psychiatry, 67(1), 63-80.

Doka, K. (1989). Disenfranchised grief: recognizing hidden sorrow. Lexington, MA: Lexington Books.

Downe, S., Schmidt, E., Kingdon, C., & Heazell, A. (2013). Bereaved parents experience of stillbirth in UK hospitals: a qualitative interview study. BMJ Open, 3, 1-10.

Dyregrov, A., & Gjestad, R. (2011). Sexuality following the loss of a child. Death Studies, 35, 289-315.

Gravensteen, I. K., Helgadottir, L. B., Jacobsen, E.-M., Rådestad, I., Sandset, P. M., & Ekeberg, (2013). Women’s experiences in relation to stillbirth and risk factors for long-term post-traumatic stress symptoms: a retrospective study. BMJ Open, 3(10), 1-10.

Hennegan, J., Henderson, J., & Redshaw, M. (2015). Contact with the baby following stillbirth and parental mental health and well-being: a systemic review. BMJ Open, 5(11), 1-18.

Hill, P., DeBackere, K., & Kavanaugh, K. (2008). The parental experience of pregnancy after perinatal loss. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 37(5), 525–537.

Horton, R. & Samarasekera, U. (2016). Stillbirths: ending an epidemic of grief. The Lancet, 387(10018), 515-516.

Huberty, J., Coleman, J., Rolfsmeyer, K., & Wu, S. (2014). A qualitative study exploring women’s beliefs about physical activity after stillbirth. BMC Pregnancy and Childbirth, 14(26), 2-8.

Hughes, P., Turton, P., Hopper, E., McGauley, A., & Fonagy, P. (2001). Disorganized attachment behavior among infants born subsequent to stillbirth. Journal of Child Psychology and Psychiatry, 42(6), 791-801.

Hughes, P., Turton, P., Hopper, E., & Evans, C. (2002). Assessment of guidelines for good practice in psychosocial care of mothers after stillbirth: a cohort study. Lancet, 360(9327), 114-118.

Human, M., Green, S., Groenewald, C., Goldstein, R., Kinney, H., & Odendaal, H. (2015). Psychosocial implications of stillbirth for the mother and her family: a crisis support approach. Social Work, 50(4), 392- 405.

Kamm, S. & Vandenberg, B. (2001). Grief communication, grief reactions and marital satisfaction in bereaved parents. Death Studies, 25(7), 569-582.

Kelley, M. & Trinidad, S. (2012). Silent loss and the clinical encounter: parents and physicians’ experiences of stillbirth- a qualitative analysis. BMC Pregnancy and Childbirth, 12(137), 1-14.

Kersting, A. & Wagner, B. (2012). Complicated grief after perinatal loss. Dialogues of Clinical Neuroscience, 14(2), 187-194.

Lamb, E. (2002). The impact of previous perinatal loss on subsequent pregnancy and parenting. Journal of Perinatal Education, 11, 33-40.

Lee, C. (2012). She was a person, she was here: the experience of late pregnancy loss in Australia. Journal of Reproductive and Infant Psychology, 30 (1), 62-76.

Modiba, L. & Nolte, A. (2007). The experiences of mother’s who lost a baby during pregnancy. Health SA Gesondheid, 12(2), 3-13.

Nillsen, I., & Harris, M. (2009). Navigating care after a baby dies: improving nursing care for the bereaved parents. HNE Handover for Nurses and Midwives, 2(1), 49-50.

O’Leary, J. (2004). Grief and its impact on prenatal attachment in the subsequent pregnancy. Archives of Women’s Mental Health, 1-12.

Peters, M., Lisy, K., Ritano, D., Jordan, Z., & Aromataris, E. (2016). Providing meaningful care for families experiencing stillbirth: a meta-synthesis of qualitative evidence. Journal of Perinatology, 36, 3-9.

Radestad, I., & Christoffersen, L. (2008). Helping a woman meet her stillborn baby while it is soft and warm. British Journal of Midwifery, 16, 588-591.

Randolph, A., Hruby, B., & Sharif, S. (2015). Counseling women who have experienced pregnancy loss: a review of the literature. Adultspan Journal, 14(1), 2-10.

Rhyninks, K., Robets-Collins, C., McKenzie-McHarg, K., & Horsch, A. (2014). Mothers experience of their contact with their stillborn infant: an interpretative phenomenological analysis. BMC Pregnancy and Childbirth, 14, 203-215.

Schetter, C. & Tanner, L. (2012). Anxiety, depression, and stress in pregnancy: implications for mothers, children, research, and practice. Wolters Kluwer Health, 25(2), 141-148.

Scott, J. (2011). Stillbirths: breaking the silence of a hidden grief. The Lancet, 377(9775), 1386- 1388.

Silver, R., Varner, M., Reddy, U., Goldenberg, R., Pinar, H., Conway, D., … & Stoll, B. (2007). Work-up of stillbirth: a review of the evidence. American Journal of Obstetrics and Gynecology, 196(5), 433-444.

Sutan, R., Amin, R. M., Ariffin, K. B., Teng, T. Z., Kamal, M. F., & Rusli, R. Z. (2010). Psychosocial impact of mothers with perinatal loss and its contributing factors: an insight. Journal of Zhejiang University. Science. B, 11(3), 209–217.

The Perinatal Society of Australia and New Zealand (2014). Psychological and social aspects of perinatal bereavement. Clinical Practice Guideline for Perinatal Mortality, third edition, 3(3) http://www.stillbirthalliance.org.au/ doc/PSANZ_Guideline_Section_3_Version%20 3_2014_Update.pdf

Tsartsara, E. & Johnson, M. (2006). The impact of miscarriage on women’s pregnancy-specific anxiety and feelings of prenatal maternal attachment during the course of a subsequent pregnancy: an exploratory follow up study. Journal of Psychosomatic Obstetrics and Gynecology, 27(3), 173-182.

Turton, P., Hughes, P. Evans, C., & Fainman, D. (2001). Incidence, correlates and predictors of post-traumatic stress disorder in the pregnancy after stillbirth. The British Journal of Psychiatry, 178, 556-560.

Turton, P., Evans, C., & Hughes, P. (2009). Long-term psychosocial sequelae of stillbirth: phase II of a nested case control cohort study. Arch Women’s Mental Health, 12(1), 35-41.

Wijngaards-De, M., Stroebe,M., Stroebe, W., Schut, H., Van den Bout,J., Van Der Heijden,P., & Dijkstra,I. (2008). The impact of the circumstances surrounding the death of a child on parents’ grief. Death Stud, 32(3), 237-252.

World Health Organization. (2006). Neonatal and perinatal mortality. County, regional, and global estimates. Geneva: WHO Press.