Support guideline for families with perinatal grieving: care follow-up and continuity

Support guideline for families with perinatal grieving: care follow-up and continuity

Pastor Magro, EM (1), Palacios Alzaga, GQ (1), Murillo Morante S. (2), Herreros Estévez M (1), Cediel Altares C (1), González Casado MA (1), Fabero Jiménez, A (3), de la Fuente Hermosín I (4)

(1) Midwives, Hospital Universitario Fundación Alcorcón, Madrid, Spain; (2) Nutritional Coaching (3); Directora de continuidad asistencial; (4) Responsable de centros DAO.

Background:
Death and perinatal grief support should be a continuous work of the entire health care team. This work requires adequate training of all the professionals involved. The project describes the development and implementation of a guideline for perinatal bereavement care follow-up and continuity at Hospital Universitario Fundación Alcorcón.

Description:
The objectives of the guidelines were to define the necessary skills of the health professionals to provide tools to the families, that allow them to grieve normally and to be able to recover their physical and emotional well-being. To ensure care continuity through follow-up by a multidisciplinary team. To offer resources when discharging patients, support groups. A multidisciplinary team of recruitment, follow-up and referral coordinated with specialized and primary health care ensuring care continuity was established. The guideline that was developed establishes protocols for action and communication with parents and relatives from admission to hospital discharge. After ten days from hospital discharge, the midwife contacts the parents by phone offering them a follow-up appointment after which, they will be offered further visits or consultation over the phone. They are also contacted via e-mail by a coordinator, who will request an assessment by their primary care doctor, midwife and nurse and refer them to the psychologist if necessary. Additionally, booklets with recommendations for parents, relatives and friends at hospital discharge were developed and distributed.

Conclusions/summary:
Therefore, since the implementation of this guideline in January 2018, the research team is developing a research project to learn about the experience of these families and health professionals in the grieving process, with the aim of improving our scientific and human quality as well as the excellence and continuity of our care for all and by all. January 2018, the research team is developing a research project to learn about the experience of these families and health professionals in the grieving process, with the aim of improving our scientific and human quality as well as the excellence and continuity of our care for all and by all.

Ethics statement:
No ethics approval required.

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