Attention to patients with grief after pregnancy loss and perinatal grief as part of the Perinatal Mental Health Program at Hospital Puerta de Hierro
Díaz de Neira Hernando, Mónica (1), Forti Buratti, M. Azul (2), García Murillo, Lourdes (2) Palanca Maresca, Inmaculada (2)
(1) Psicóloga Clínica, Hospital Puerta de Hierro Majadahonda (2) Psiquiatra, Hospital Puerta de Hierro Majadahonda
The Perinatal Mental Health Program has been developed by Child and Adolescent Psychiatry and Psychology Department at Hospital Universitario Puerta de Hierro Majadahonda. It aims to promote family mental health, since pregnancy, to facilitate the development of a healthy parent-to-infant bond. Pregnancy loss and perinatal loss are two situations that may affect family stability and family mental health.
Within the program we have included clinical activities as well as liaison, teaching and research activities. 2.1 Clinical activities: We receive referrals from Gynecology and Obstetrics and Neonatology. In the case of perinatal grief, we include: Assessment and support of parents during hospitalization and after discharge. The goal of the intervention is to facilitate bereavement. Assessment and participation in group psychotherapy for pregnant women with previous perinatal or pregnancy loss. Intervention is orientated to facilitate the process of facing fears and worries of the current pregnancy and develop a healthy mother-to-infant bond with the coming baby. 2.2 Liaison activities: Liaison meetings take place weekly with Neonatology staff. We attend the multidisciplinary meeting on “Perinatal morbimortality” that takes place fortnightly. We also provide support and advice in particular cases in order to help improving communication between medical staff and families. 2.3 Teaching and research activities Teaching activities on these topics are developed at the hospital or in other facilities. Research has been done in the field of perinatal mental health. 3)
As part of the attention to families going through perinatal grief, we do not only see families as patients but also liaise with other services, we develop training programs and do research in the field.
Given the nature of this study, Ethics Approval was not sought