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The Spiritual and Theological Challenges of Stillbirth for Bereaved Parents

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Abstract

Stillbirth is recognized as one of the most challenging experiences of bereavement raising significant spiritual and theological questions. Semi-structured qualitative interviews were conducted with bereaved parents cared for in a tertiary maternity hospital to explore the spiritual impact of stillbirth. Data were analysed using interpretative phenomenological analysis. Stillbirth was identified as an immensely challenging spiritual and personal experience with enduring impact for parents. The superordinate themes to emerge were searching for meaning, maintaining hope and questioning core beliefs. Most parents reported that their spiritual needs were not adequately addressed while in hospital. The faith of all parents was challenged with only one parent experiencing a stronger faith following stillbirth. This study reveals the depth of spiritual struggle for parents bereaved following stillbirth with a recommendation that spiritual care is provided as part of comprehensive perinatal bereavement care in the obstetric setting.

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References

  • Balboni, M., Puchalski, C., & Peteet, J. (2014). The relationship between medicine, spirituality and religion: Three models for integration. Journal of Religion and Health, 53(5), 1586–1598. doi:10.1007/s10943-014-9901-8.

    Article  PubMed  Google Scholar 

  • Ballard, P., & Pritchard, J. (2006). Practical theology in action (2nd ed.). London: SPCK.

    Google Scholar 

  • Biggerstaff, D., & Thompson, A. R. (2008). Interpretative phenomenological analysis (IPA): A qualitative methodology of choice in healthcare research. Qualitative Research in Psychology, 5(3), 214–224. doi:10.1080/14780880802314304.

    Article  Google Scholar 

  • Burden, C., Bradley, S., Storey, C., Ellis, A., Heazell, A. E., Downe, S., et al. (2016). From grief, guilt pain and stigma to hope and pride—a systematic review and meta-analysis of mixed-method research of the psychosocial impact of stillbirth. BMC Pregnancy Childbirth, 16, 9. doi:10.1186/s12884-016-0800-8.

    Article  PubMed  PubMed Central  Google Scholar 

  • Cacciatore, J. (2013). Psychological effects of stillbirth. Semin Fetal Neonatal Med, 18(2), 76–82. doi:10.1016/j.siny.2012.09.001.

    Article  PubMed  Google Scholar 

  • Cacciatore, J., & Ong, R. (2011). Through the touch of god: Child death and spiritual sustenance in a Hutterian colony. Omega (Westport), 64(3), 185–202.

    Article  Google Scholar 

  • Condon, J. T., & Corkindale, C. (1997). The correlates of antenatal attachment in pregnant women. British Journal of Medical Psychology, 70(4), 359–372.

    Article  PubMed  Google Scholar 

  • Cooper-White, P. (2012). Suffering. In B. J. Miller-McLemore (Ed.), The Wiley-Blackwell companion to practical theology (p. 626). Chichester: Wiley.

    Google Scholar 

  • Cowchock, F. S., Ellestad, S. E., Meador, K. G., Koenig, H. G., Hooten, E. G., & Swamy, G. K. (2011). Religiosity is an important part of coping with grief in pregnancy after a traumatic second trimester loss. Journal of Religion and Health, 50(4), 901–910. doi:10.1007/s10943-011-9528-y.

    Article  CAS  PubMed  Google Scholar 

  • Cowchock, F. S., Lasker, J. N., Toedter, L. J., Skumanich, S. A., & Koenig, H. G. (2010). Religious beliefs affect grieving after pregnancy loss. Journal of Religion and Health, 49(4), 485–497. doi:10.1007/s10943-009-9277-3.

    Article  CAS  PubMed  Google Scholar 

  • Eireann, O. (1994). Stillbirths Registration Act. Dublin: Government Stationery Office. http://www.irishstatutebook.ie/eli/1994/act/1/enacted/en/print.

  • Flenady, V., Boyle, F., Koopmans, L., Wilson, T., Stones, W., & Cacciatore, J. (2014). Meeting the needs of parents after a stillbirth or neonatal death. BJOG: An International Journal of Obstetrics & Gynaecology, 121(S 4), 137–140. doi:10.1111/1471-0528.13009.

    Article  Google Scholar 

  • Froen, J. F., Cacciatore, J., McClure, E. M., Kuti, O., Jokhio, A. H., Islam, M., et al. (2011). Stillbirths 1 Stillbirths: Why they matter. Lancet, 377(9774), 1353–1366. doi:10.1016/s0140-6736(10)62232-5.

    Article  PubMed  Google Scholar 

  • Green, L. (2009). Let’s do theology resources for contextual theology. London: Mowbray.

    Google Scholar 

  • Heazell, A. E., Siassakos, D., Blencowe, H., Burden, C., Bhutta, Z. A., Cacciatore, J., et al. (2016). Stillbirths: economic and psychosocial consequences. Lancet, 387(10018), 604–616. doi:10.1016/S0140-6736(15)00836-3.

    Article  PubMed  Google Scholar 

  • Jones, L. S. (2001). Hope deferred: Theological reflections on reproductive loss (infertility, miscarriage, stillbirth)*. Modern Theology, 17(2), 227.

    Article  Google Scholar 

  • Kelly, E. R. (2007). Marking short lives: Constructing and sharing rituals following pregnancy loss. Bern: Peter Lang AG.

    Google Scholar 

  • Kelly, E. (2012). Personhood and presence. In Self as a resource for spiritual and pastoral care (p. 209). London: T & T Clark International.

  • Kingdon, C., O’Donnell, E., Givens, J., & Turner, M. (2015). The role of healthcare professionals in encouraging parents to see and hold their stillborn baby: A meta-synthesis of qualitative studies. PLoS ONE, 10(7), e0130059. doi:10.1371/journal.pone.0130059.

    Article  PubMed  PubMed Central  Google Scholar 

  • Leon, I. G. (1990). When a baby dies: psychotherapy for pregnancy and newborn loss. Newhaven: Yale University Press.

    Google Scholar 

  • Leoni, L. C., Woods, J. R., & Woods, J. E. (1998). Caring for patients after pregnancy loss. AWHONN Lifelines, 2(1), 56–58.

    Article  CAS  PubMed  Google Scholar 

  • Lumley, J. M. (1982). Attitudes to the fetus among primigravidae. Australian Paediatric Journal, 18(2), 106–109.

    CAS  PubMed  Google Scholar 

  • Newitt, M. (2015). Chaplaincy support to bereaved parents-Part 1: Liturgy, ritual and pastoral presence. Health and Social Care Chaplaincy, 2(2), 179–194.

    Article  Google Scholar 

  • Newitt, M. (2016). Healthcare chaplains among the virtues? Practical Theology, 9(1), 16–28. doi:10.1080/1756073X.2016.1149303.

    Article  Google Scholar 

  • NRSV Anglicized Bible. (1998). Oxford: Oxford University Press.

  • Nuzum, D., Meaney, S., O’Donoghue, K., & Morris, H. (2015a). The spiritual and theological issues raised by stillbirth for healthcare chaplains. Journal of Pastoral Care & Counseling, 69(3), 163–170. doi:10.1177/1542305015602714.

    Google Scholar 

  • Nuzum, D., Meaney, S., & O’Donoghue, K. (2014a). The impact of stillbirth on consultant obstetrician gynaecologists: A qualitative study. BJOG: An International Journal of Obstetrics & Gynaecology, 121(8), 1020–1028. doi:10.1111/1471-0528.12695.

    Article  CAS  Google Scholar 

  • Nuzum, D., Meaney, S., & O’Donoghue, K. (2014b). The spiritual impact of death on consultant obstetricians following stillbirth. Journal of Palliative Care, 30(3), 244–245.

    Google Scholar 

  • Nuzum, D., Meaney, S., & O’Donoghue, K. (2015b). The place of faith for consultant obstetricians following stillbirth: A qualitative exploratory study. Journal of Religion and Health. doi:10.1007/s10943-015-0077-7.

    Google Scholar 

  • Nuzum, D., Meaney, S., & O’Donoghue, K. (2016). The provision of spiritual and pastoral care following stillbirth in Ireland: A mixed methods study. BMJ Support Palliat Care, 6(2), 194–200. doi:10.1136/bmjspcare-2013-000533.

    Article  PubMed  Google Scholar 

  • O’Connell, O., Meaney, S., & O’Donoghue, K. (2016). Caring for parents at the time of stillbirth: How can we do better? Women Birth. doi:10.1016/j.wombi.2016.01.003.

    PubMed  Google Scholar 

  • Pierce, B. (2003). Miscarriage and stillbirth: the changing response. Dublin: Veritas & SPCK.

    Google Scholar 

  • Puchalski, C. M. (2010). Formal and informal spiritual assessment. Asian Pacific Journal of Cancer Prevention, 11, 51–58.

    PubMed  Google Scholar 

  • Puchalski, C., & Ferrell, B. (2010). Making healthcare whole. Integrating spirituality into patient care. West Conshohoken: Templeton Press.

    Google Scholar 

  • Smith, J. A., Flowers, P., & Larkin, M. (2009). Interpretative phenomonological analysis: Theory, method, research. London: Sage.

    Google Scholar 

  • Tsartsara, E., & Johnson, M. P. (2006). The impact of miscarriage on women’s pregnancy-specific anxiety and feelings of prenatal maternal-fetal attachment during the course of a subsequent pregnancy: An exploratory follow-up study. Journal of Psychosomatic Obstetrics and Gynecology, 27(3), 173–182.

    Article  PubMed  Google Scholar 

  • Worden, J. (2009). Grief counselling and grief therapy (4th ed.). New York: Springer.

    Google Scholar 

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Correspondence to Daniel Nuzum.

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Conflict of interest

Daniel Nuzum declares that he has no conflict of interest; Sarah Meaney declares that she has no conflict of interest; and Keelin O’Donoghue declares that she has no conflict of interest.

Ethical Approval

Ethical approval for this study was received from the Clinical Research Ethics Committee of the Cork Teaching Hospitals (Ref. No: ECM 4 (pp) 06/03/12).

Human and Animal Rights

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

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Nuzum, D., Meaney, S. & O’Donoghue, K. The Spiritual and Theological Challenges of Stillbirth for Bereaved Parents. J Relig Health 56, 1081–1095 (2017). https://doi.org/10.1007/s10943-017-0365-5

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