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Table 1 Influencing factors for depression & negative psychological symptoms after stillbirth

From: 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

Influencing factors

 

Negative

 

  Previous perinatal loss

 

  Complications in index pregnancy

 

  Poor support from partner

 

  Increased time from index pregnancy

 

  Increased maternal age

 

  Psychological problems pre-existing

 

  Gender (female)

 

  Grief suppression

 

  Death of partner (symptoms may re-emerge)

 

  Not conceiving in future

 

  Absence of living children

 

  Personality traits

 

  Not seeing/holding baby/saying goodbye

 

  Lack of maternal pride

 

  Single/divorced or widowed parent

 

  Poor family support/social network

 

  Increased number of pregnancy losses

 

  Prolonged grief

 

  History of sexual or physical abuse

 

  Attending ultrasound in index pregnancy (males)

 

  Lack of male support for fathers

 

  Ambiguity of burial arrangements

 

  One partner being ignored by HCP

 

  Unemployment

 

  History of infertility

 

  Multiple pregnancy losses

 

  Seeking cause of loss/blame

 

  Delay in IOL after loss

 

  Insensitive treatment by HCP

 

  Poor ego strength (males)

 

  History of stressful life events

 

Positive

 

  Treatment/counselling/professional support

 
  1. HCP Health care professional
  2. IOL Induction of labour