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https://ciane.net/id=498

Created on : 17 Feb 2004
Modified on : 02 Dec 2007

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Bibliographical entry (without author) :

Physicians’ role and gender differences in the management of parents of a stillborn child: a nationwide study. Journal of Psychosomatic Obstetrics and Gynecology 2000;21(1).

Author(s) :

Säflund K, Sjögren B, Wredling R.

Year of publication :

2000

URL(s) :

http://jpog.ispog.org/

Résumé (français)  :

Abstract (English)  :

During spring 1997 all gynecologists working at gynecology departments in Sweden were sent a questionnaire regarding their role in, and attitudes to, the management of the parents of a stillborn child. Of 871 gynecologists approached, 761 answered the questionnaire (87%). The majority considered that the parents should hold the child (94%), that the child should be given a name (80%) and that the child should be photographed (92%). A smaller proportion considered that labor should be started within 24 h (40%) and that siblings should see the child (55%). A minority experienced guilt at what had happened (12%) and one-third were anxious about possible disciplinary measures (30%). The majority of the gynecologists stated that the need for guidance was urgent (90%) but that only a minority had received this (40%). Regarding gender differences, it emerged that the female gynecologists did not consider there was an age limit for siblings to see the child (p = 0.003), were less inclined to prescribe tranquilizers (p = 0.001) or to prolong the parents’ sick-listing (p = 0.020). These differences remained after regression analysis was performed using background variables as covariates. In summary, this study demonstrates a great need for guidance; but that only a minority of the gynecologists get this. The lack of guidance/training may in the future increase the risk of this professional group becoming ’burnt out’.

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Keywords :

➡ physiology ; ethics ; induction of labor ; deontology ; informed consent ; stillbirth ; post-term pregnancy

Author of this record :

Cécile Loup — 17 Feb 2004
➡ latest update : Bernard Bel — 02 Dec 2007