Healthcare for perinatal grief within the Healthcare Follow-up Programme for Puerperal Care in the Health Area of ​​Lanzarote, Spain

Healthcare for perinatal grief within the Healthcare Follow-up Programme for Puerperal Care in the Health Area of ​​Lanzarote, Spain

Estévez, Victoria (1), Verdugo, Manuel (2), Hernández, Mª Begoña (3), Mendoza, Mª Carmen (4), Gopar, Paula (5), Nicolás, Encarna (6)

(1) Director of Nursing, Primary Care, Lanzarote, SCS, (2, 3, 6) Nurse, Primary Care, Lanzarote, SCS (4) Medical Director, Primary Care, Lanzarote, SCS (5) Nurse, Dr. Molina Orosa Hospital, Lanzarote, SCS

Introduction:
Stillbirth is a devastating experience for parents. In our environment, pregnant women receive continuous care for the correct control of pregnancy, delivery and postpartum. In the case of gestational or perinatal loss, this care is interrupted, not attending to the physical, emotional and psycho-social needs. This lack of continuity of care in addition to not being respectful with the process and not detecting risk, can cause a deep sense of abandonment in women and contribute to the complication of mourning.

Description:
Since June 2018, the Puerperal Domiciliary Care Program aims to promote the proper evolution of the puerperium by favoring health and early detection of risk for the mother and / or the newborn. To guarantee continuity of care and improve accessibility, two actions were implemented: – Creation of a medical referral computer application for specific cases, which allows filtering by inclusion criteria, in which perinatal death is included since February 2019. – Implementation of telephone consultation with the midwife through 012.

Summary:
A protocol has been designed to follow up miscarriages and late fetal losses. This will involve the multidisciplinary team including: follow ups from community midwives, obstetric review and mental health referral criteria. This will be within a framework providing high standards of care and improve the way in which miscarriages and fetal demise handled in an individual and personal manner. The aim of this project is to improve the grieving process of women and families affected.

Ethics statement:
No ethics approval required

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