Spirituality and bereavement in perinatal death: a narrative review

Authors

DOI:

https://doi.org/10.15343/0104-7809.202448e15262023P

Keywords:

Bereavement, Perinatal Death, Spirituality

Abstract

Perinatal death, understood as the death of a fetus between 28 weeks or more of gestation and a live birth less than 28 days old, involves multidimensional aspects of family suffering. Among the existing strategies for dealing with this suffering, spirituality, understood as a personal search for understanding human existential issues and their relationships with the sacred and transcendent, can be a way of giving new meaning to this grieving process. Investigate the influence of spirituality on family bereavement resulting from perinatal deaths. A search was carried out on PUBMED using the DeCs/Mesh descriptors “Bereavement”, “Perinatal death” and “Spirituality” in June 2023. 14 articles were included in this narrative review. Performing rituals that honor the baby's memory, identifying them as a member of the family, favors the process of elaboration and acceptance of bereavement. Self-reflection about the process of loss becomes inherent to re-signify perinatal bereavement as a “natural human experience”. Furthermore, spirituality represents a means of strengthening and giving new meaning for both the mother and family members in the face of the suffering experienced. Finally, there is a lack of qualified health and religious professionals who can systematically approach and improve the process and quality of care for maternal loss. The experience of perinatal bereavement can take on new values and meanings when recognized, respected and assisted by professionals qualified to address the topic, with spirituality being an important aspect in the elaboration of maternal bereavement.

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References

Descritores em Ciências da Saúde: DeCS [Internet]. São Paulo (SP): BIREME / OPAS / OMS; 2023 [atualizado 2023 Fev; citado 2023 Jul 22]. Disponível em: http://decs.bvsalud.org.

Lucchetti G, Lamas A, Lucchetti G, Avezum Á. Espiritualidade e Doenças Cardiovasculares. [Internet]. 2011. [acessado em 22 de Julho de 2023]. Disponível em: http://sociedades.cardiol.br/socerj/revista/2011_01/a_2011_v24_n01_07giancarlo.pdf

Lopes BG, Borges PK de O, Grden CRB, Coradassi CE, Sales C de M, Damasceno NFP. Luto materno: dor e enfrentamento da perda de um bebê. Rev Rene [Internet]. 2017. [acessado em 22 de Julho de 2023]. Disponível em: http://www.periodicos.ufc.br/rene/article/ view/20048 doi: 10.15253/2175-6783.2017000300004

Almeida TD. The Implications of Complicated Grief for the Sleep. OALib. 2018;05(06):1–15. Disponível em: https://www.scirp.org/ pdf/OALibJ_2018062811122749.pdf doi: 10.4236/oalib.1104572

Campos MTF de S. A influência do luto no comportamento alimentar e suas implicações nas condutas nutricionais. Ciência & Saúde Coletiva [Internet]. 2013 Set 1;18:2769–79. Disponível em: https://www.scielo.br/j/csc/a/r8CQpztF5wmDLFKNzHCsZjy/?lang=pt doi: 10.1590/S1413-81232013000900032

Sergi CM, Mullur T. Life and Death Sometimes Coincide, and Pastoral Response is Crucial to the Brokenhearted. J Pastoral Care Counsel. [Internet]. 2022 Ago 9;76(4):281–4. Disponível em: https://journals.sagepub.com/doi/10.1177/15423050221118027 doi: 10.1177/15423050221118027.

Fundação Oswaldo Cruz. Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira. Portal de Boas Práticas em Saúde da Mulher, da Criança e do Adolescente. Postagens: Principais Questões sobre Luto Perinatal. [Internet]. Rio de Janeiro; 17 mar. 2023. Disponível em: https://portaldeboaspraticas.iff.fiocruz.br/atencao-mulher/principais-questoes-sobre-luto perinatal.

Brown Y. Perinatal loss: A framework for practice. Health Care for Women International. [Internet]. 1993 Set; 14(5):469–79. Disponível em: https://www.tandfonline.com/doi/abs/10.1080/07399339309516074 doi: 10.1080/07399339309516074

Uren TH, Wastell CA. Attachment And Meaning-Making In Perinatal Bereavement. Death Studies. [Internet]. 2002 Abr; 26(4):279– 308. Disponível em: https://www.tandfonline.com/doi/abs/10.1080/074811802753594682 doi: 10.1080/074811802753594682

Swanson PB, Pearsall-Jones JG, Hay DA. How mothers cope with the death of a twin or higher multiple. Twin Research: The Official Journal of the International Society for Twin Studies [Internet]. 2002 Jun 1; 5(3):156–64. Disponível em: https://psycnet.apa.org/ record/2004-12920-002 doi: 10.1375/136905202320227808

Cowchock FS, Lasker JN, Toedter LJ, Skumanich SA, Koenig HG. Religious Beliefs Affect Grieving After Pregnancy Loss. Journal of Religion and Health. [Internet]. 2009 Ago 19;49(4):485–97. Disponível em: https://link.springer.com/article/10.1007/s10943-009- 9277-3 doi: 10.1007/s10943-009-9277-3

Swanson PB, Kane RT, Pearsall-Jones JG, Swanson CF, Croft ML. How couples cope with the death of a twin or higher order multiple. Twin Research and Human Genetics: The Official Journal of the International Society for Twin Studies [Internet]. 2009 Ago 1; 12(4):392–402. Disponível em: https://core.ac.uk/reader/192631246?utm_source=linkout doi: 10.1375/twin.12.4.392

Cowchock FS, Ellestad SE, Meador KG, Koenig HG, Hooten EG, Swamy GK. Religiosity is an Important Part of Coping with Grief in Pregnancy After a Traumatic Second Trimester Loss. Journal of Religion and Health. [Internet]. 2011 Ago 23; 50(4):901–10. Disponível em: https://link.springer.com/article/10.1007/s10943-011-9528-y doi: 10.1007/s10943-011-9528-y

O. Noizet-Yverneau, Deschamps C, Lempp F, I. Daligaut, G. Delebarre, David A, et al. Coffrets de souvenirs en réanimation néonatale et pédiatrique: ressenti des soignants un an après leur mise en place. Archives de Pédiatrie. [Internet]. 2013 Set 1; 20(9):921- 927 Disponível em: https://www.em-consulte.com/article/827953/figures/coffrets-de-souvenirs-en-reanimation-neonatale-et- doi: 10.1016/j.arcped.2013.06.003

Nuzum D, Meaney S, O’Donoghue K. The provision of spiritual and pastoral care following stillbirth in Ireland: a mixed methods study. BMJ Supportive & Palliative Care. [Internet]. 2014 Jun 10; 6(2):194–200. Disponível em: https://spcare.bmj.com/content/6/2/194. long doi: 10.1136/bmjspcare-2013-000533

Rosenbaum JL, Smith JR, Yan Y, Abram N, Jeffe DB. Impact of a Neonatal-Bereavement- Support DVD on Parental Grief: A Randomized Controlled Trial. Death Studies. [Internet]. 2014 Dez 20; 39(4):191–200. Disponível em: https://www.ncbi.nlm.nih.gov/ pmc/articles/PMC4382412/pdf/nihms-615058.pdf doi: 10.1080/07481187.2014.946628

Nuzum D, Meaney S, O’Donoghue K, Morris H. The Spiritual and Theological Issues Raised by Stillbirth for Healthcare Chaplains. Journal of Pastoral Care & Counseling: Advancing theory and professional practice through scholarly and reflective publications. [Internet] 2015 Set 69(3):163–70. Disponível em: https://journals.sagepub.com/doi/10.1177/1542305015602714?url_ver=Z39.88- 2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%20%200pubmed doi: 10.1177/1542305015602714

Camacho-Ávila M, Fernández-Sola C, Jiménez-López FR, Granero-Molina J, Fernández- Medina IM, Martínez-Artero L, et al. Experience of parents who have suffered a perinatal death in two Spanish hospitals: a qualitative study. BMC Pregnancy and Childbirth. [Internet] 2019 Dez; 19(1). Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6923983/pdf/12884_2019_Article_2666. pdf doi: 10.1186/s12884-019-2666-z

Fenstermacher KH, Hupcey JE. Support for Young Black Urban Women After Perinatal Loss. MCN, The American Journal of Maternal/Child Nursing. [Internet] 2019;44(1):13–9. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6289796/pdf/ nihms-1504896.pdf doi: 10.1097/NMC.0000000000000485

Das MK, Arora NK, Gaikwad H, Chellani H, Debata P, Rasaily R, et al. Grief reaction and psychosocial impacts of child death and stillbirth on bereaved North Indian parents: A qualitative study. Gopichandran V, editor. Plos One. [Internet]. 2021 Jan 27; 16(1):e0240270. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7840017/pdf/pone.0240270.pdf doi: 10.1371/ journal.pone.0240270

Published

2024-03-19

How to Cite

Pires, L. P., Ferreira, F. C. de S., Souza, L. C. de, & Rodrigues, G. C. (2024). Spirituality and bereavement in perinatal death: a narrative review. O Mundo Da Saúde, 48. https://doi.org/10.15343/0104-7809.202448e15262023P