Grief Counseling Module: Obstetrics ( GIST)

 

1. Introduction

• Importance of bereavement care in obstetrics.
• Impact of perinatal loss on parents, families, and healthcare staff.

2. Principles of Perinatal Loss Care

• Parent-centred approach: Needs-based, not loss-type-based.
• Multidisciplinary team roles (Midwives, doctors, social workers, spiritual advisors).
• Continuity of care and carer.

3. Empathetic Communication Strategies

• Breaking bad news: Honesty, clarity, and sensitivity.
• Language usage: Using parents' preferred terminology (e.g., "baby" vs "fetus").
• Validating the baby’s existence and acknowledging parenthood.
• Active listening and managing stress/grief in information absorption.

4. Supporting Parents & Families

• Memory making: Options for mementos (photos, footprints).
• Parent-centred decision-making: Birth plans, palliative care, and post-birth care.
• Cultural and religious considerations.
• Support after termination of pregnancy for medical reasons (addressing stigma, guilt, and shame).

5. Clinical Guidelines

• Documentation: Care plans and shared records.
• Aftercare: Referral pathways to community support and follow-up.
• Self-care for staff: Managing secondary traumatic stress.

6. Conclusion & Resources

• Key takeaways.
• Contact list for support services.