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This is an opportunity to
provide parents with information and support, as well
as reassurance and the space and time in which to make
important decisions without outside pressure or constraints.
Counselling, in the case of abnormalities especially,
involves a great deal of information for the parents
to absorb. The findings and implications for the baby
and pregnancy need to be clearly explained. Other tests
may be available to the parents to increase the certainty
of the initial findings, which then need to be explained.
Options that are available to the parents need to be
outlined. There may also be implications for future
pregnancies.
It is important that the parents feel supported in
their decisions, whether it is to terminate a pregnancy
for an abnormality or to consent to a post mortem for
an unexplained stillbirth. A lot of the initial discussion
may not be remembered so it was suggested that parents
are given a contact number for a named person to ring
at any time to ask questions. There may also be a support
group that they can be put in touch with that is applicable
to their circumstances for outside help and assistance.
Informing their GP and community midwife will increase
their support network and may avoid unnecessary and
difficult explanations for the parents in the future.
Suggestions:
- Always write down basic points for the
parents to take away with them for future
reference
- Offer an early appointment to come back
and ask further questions or follow-up
- Inform GP and community midwife
- Provide information leaflets and numbers
of relevant support group
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