Perinatal bereavement: nurses’ perceptions in an obstetrics and gynecology unit

Keywords: Perinatal Death, Obstetric Nursing, Nursing Care, Parents, Family Mourning

Abstract

Objective: to explore nurses’ perceptions of perinatal bereavement in an obstetrics and gynecology unit. Methods: qualitative descriptive study conducted with 15 nurses from the obstetrics and gynecology unit of a university hospital in Paraná, Brazil. Between June and October 2024, data were collected through semi-structured, audio-recorded interviews, which were transcribed and analyzed using Bardin’s thematic content analysis. Results: the final sample included 15 participants, all women, aged 24–52 years, with time in practice ranging from 1 year and 2 months to 24 years. Three categories emerged: Feelings and lived experiences related to perinatal bereavement; Gaps in care in the context of perinatal bereavement; and Strengths in caring for bereaved families. Conclusions: findings indicate a lack of professional preparation compromises support for families. They also highlight the need for an approach integrating physical and emotional care, alongside training focused on compassionate care and empathetic engagement, to ensure high-quality, respectful care.

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Author Biographies

Emanuelly de Paula Davini, Universidade Estadual de Maringá

Enfermeira. Maringá, Paraná, Brasil

Maria Heloiza Bezerra Caniato, Universidade Estadual de Maringá

Enfermeira. Maringá, Paraná, Brasil

Viviane Cazetta de Lima Vieira, Universidade Estadual de Maringá

Enfermeira. Doutora em Enfermagem. Docente no Departamento de Enfermagem da Universidade Estadual de Maringá. (DEN/UEM) Maringá, Paraná, Brasil.

Flávia Cristina Vieira Frez, Universidade Estadual de Maringá

Enfermeira. Doutora em Ciências Farmacêuticas. Docente no DEN/UEM. Maringá, Paraná, Brasil.

Márcia Moroskoski, Universidade Estadual de Maringá

Enfermeira. Doutora em Enfermagem. Docente no DEN/UEM. Maringá, Paraná, Brasil.

Maria de Fátima Garcia Lopes Merino

Enfermeira. Doutora em Enfermagem. Docente no DEN/UEM. Maringá, Paraná, Brasil

Larissa Carolina Segantini Felipin, Universidade Estadual de Maringá

Enfermeira. Doutora em Enfermagem. Docente no DEN/UEM. Maringá, Paraná, Brasil.

References

Montero SMP, Sánchez JMR, Montoro CH, Crespo ML, Jaén AGV, Tirado MBR. Experiences with perinatal loss from the health professionals’ perspective. Rev. Latino-Am. Enferm. 2011; 19(6):1-8. Doi: https://doi.org/10.1590/S0104-11692011000600018

Rosa R, Gomes IEM, Costa R, Alves IFBO, Aires LCP. Experiences and behaviors of healthcare professionals in the face of neonatal death: an integrative review. REME Rev. Min. Enferm. 2022; 26: e1479. Doi: https://doi.org/10.35699/2316-9389.2022.41101

World Health Organization. Maternal and perinatal death surveillance and response: materials to support implementation. Geneva: World Health Organization; 2021. Disponível em: https://www.who.int/publications/i/item/9789240036666

Fernandez-Férez A, Ventura-Miranda MI, Camacho-Ávila M, Fernández-Caballero A, Granero-Molina J, Fernández-Medina IM et al.; Nursing Interventions to Facilitate the Grieving Process after Perinatal Death: A Systematic Review. Int. J. Environ. Res. Public Health. 2021; 18(11):5587. Doi: 10.3390/ijerph18115587

Sousa C, Preto C, Rodrigues P, Anastácio V. Nursing interventions for overcoming perinatal grief. Millenium - J. Educ. Technol. Health. 2023; 21(18): e35281. Doi: http://dx.doi.org/10.29352/mill0218e.35281

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. Principais questões sobre luto perinatal. Rio de Janeiro: Fiocruz; 2023 Mar 17. Disponível em: https://portaldeboaspraticas.iff.fiocruz.br/atencao-mulher/principais-questoes-sobre-luto-perinatal

Souza VRS, Marziale MHP, Silva GTR, Nascimento PL. Translation and validation into Brazilian Portuguese and assessment of the COREQ checklist. Acta Paul. Enferm. 2021;34:eAPE02631. Doi: https://doi.org/10.37689/acta-ape/2021AO02631

Bardin L. Análise de conteúdo. 1. ed. São Paulo: Edições 70; 2016.

Andrade IP, Costa CMA, Marta CB, Andrade PCT. The overload due to grief in the experience of nursing professionals: a cross-cross study. Saúde Colet. (Barueri). 2024; 14(91): 13466–13477. DOI: https://doi.org/10.36489/saudecoletiva.2024v14i91p13466-13477

Pires LC, Costenaro RGS, Gehlen MH, Pereira LA, Hausen CF, Neves ET. Parental bereavement: experiences of the nursing staff in neonatal intensive care. Cogitare Enferm. 2023; 28:e86643. Doi: https://doi.org/10.1590/ce.v28i0.86643

Reis CGC, Olesiak LR, München MAB, Quintana AM, Farias CP. O luto de pais: considerações sobre a perda de um filho criança. Psicol. Ciênc. Prof. (Impr.). 2021;41(spe 3):e196821. Doi: https://doi.org/10.1590/1982-3703003196821

Melo VL, Maia CQ, Alkmim EM, Ravasio AP, Donadeli RL, Paula LOE et al. Death and dying in Brazilian medical training: an integrative review. Rev. Bioét. 2022; 30:300-317. Doi: http://dx.doi.org/10.1590/1983-80422022302526PT

Perboni JS, Zilli F, Oliveira SG. Profissionais de saúde e o processo de morte e morrer dos pacientes: uma revisão integrativa. Pers. Bioét. 2018; 22 (2). Doi: https://doi.org/10.5294/pebi.2018.22.2.7

Brasil. Lei nº 7.498, de 25 junho de 1986. Dispõe sobre a regulamentação do exercício da Enfermagem e dá outras providências. Diário Oficial da União. 1986 jun 26. Disponível em: https://www.planalto.gov.br/ccivil_03/leis/L7498.htm

Coutinho RZ, Guimarães FF, Ferreira MES, Mateus VFD, Souza FG. Violência obstétrica no abortamento: tipificação de relatos de mulheres que tiveram perdas gestacionais em Belo Horizonte - MG entre 2018 e 2021. Rev. Latinoam. Poblac. 2025; 19:e202428. Doi: 10.31406/relap2025.v19.e202428

Bezerra NA, Santos CNS, Silva ATCSG, Linhares FMP, Morais SCRV. Nursing care for parents who have experienced fetal demise: integrative review. Rev. Bras. Enferm. 2024; 77(1):e20220811. Doi: https://doi.org/10.1590/0034-7167-2022-0811pt

Brigagão JIM, Gonçalves R, Silva BMC. A perspectiva de profissionais de saúde sobre os partos de natimortos. In: Congresso Brasileiro de Psicologia, 33.; 2021; São Paulo. Anais. São Paulo: SBP; 2021. p. 120-123. Doi: https://doi.org/10.1590/1807-0310/2021v33235676

Leitao S, Helps A, Cotter R, O’Donoghue K, TEARDROP PLRG working group. Development and evaluation of TEARDROP - a perinatal bereavement care training programme for healthcare professionals. Midwifery. 2021; 98 (2021) 102978. Doi: https://doi.org/10.1016/j.midw.2021.102978

Canadian Pediatric Society. Guidelines for health care professionals supporting families experiencing a perinatal loss. Paediatr. Child Health. 2001;6(7):469–490. Disponível em: https://pmc.ncbi.nlm.nih.gov/articles/PMC2807762/pdf/pch06469.pdf

Koopmans L, Wilson T, Cacciatore J, Flenady V. Support for mothers, fathers and families after perinatal death. Cochrane Database Syst. Rev. 2013; (6):CD000452. Doi: https://doi.org/10.1002/14651858.CD000452.pub3

Brasil. Ministério da Saúde. Portaria MS/GM nº 1.153, de 22 de maio de 2014. Institui as diretrizes para a organização da Rede de Atenção à Saúde Materna e Infantil no âmbito do Sistema Único de Saúde (SUS). 2014. Disponível em: http://www.planalto.gov.br/ccivil_03/decreto-lei/Del2848.htm

Martínez-García E, Lara-Rodríguez H, ÁlvaMartínez-García E, Lara-Rodríguez H, Álvarez-Serrano MA, González-García A et al. Good practices in perinatal bereavement care in public maternity hospitals in Southern Spain. Midwifery. 2023; 124:103749. Doi: https://doi.org/10.1016/j.midw.2023.103749

Salgado HO, Andreucci CB, Gomes ACR, Souza JP. The perinatal bereavement project: development and evaluation of supportive guidelines for families experiencing stillbirth and neonatal death in Southeast Brantal before-and-after study. Reprod. Health. 2021; 18(1):5. Doi: https://doi.org/10.1186/s12978-020-01040-4

Public Health Agency of Canada. Family-centred care for families who experience perinatal loss: Chapter 7 (Loss and grief). In: Family-Centred Maternity and Newborn Care: National Guidelines. Ottawa (ON): PHAC; 2020. Cat.: HP15-50/2020E-PDF. ISBN: 978-0-660-35142-1. Disponível em: https://www.canada.ca/en/public-health/services/publications/healthy-living/factsheet-family-centred-care-families-experience-perinatal-loss.html

Xu DD, Zhang GX, Ding XB, Ma J, Suo YX, Peng YY et al. Bereaved parents' perceptions of memory making: a qualitative meta-synthesis. BMC Palliat. Care. 2024; 23(1):24. Doi: https://doi.org/10.1186/s12904-024-01339-0

Paris GF, Montigny F, Pelloso SM. Equivalence from the perinatal grief scale to the parental grief scale after the loss of a child. Ciênc. Cuid. Saúde. 2022; 21:e59136. Doi: https://doi.org/10.4025/ciencuidsaude.v21i0.59136

Published
2025-12-26
How to Cite
de Paula Davini, E., Bezerra Caniato, M. H., Cazetta de Lima Vieira, V., Vieira Frez, F. C., Moroskoski, M., Garcia Lopes Merino, M. de F., & Segantini Felipin, L. C. (2025). Perinatal bereavement: nurses’ perceptions in an obstetrics and gynecology unit. Ciência, Cuidado E Saúde, 24(1). https://doi.org/10.4025/ciencuidsaude.v24i1.77428
Section
Original articles