How does your facility deal with fetal demise? - page 2

Hello. I am a student nurse with a job in L&D this summer. I overall like the unit but there are several things that I find strange. One of the things I found strange was when I asked the nurse... Read More

  1. by   dana68
    Quote from ducknurse
    We have a share program that deals with everything from sab's to 40 week demises. We have 2 Share co-ordinators. If u want any info, let me know and I can send it your way!!

    Hi, I am an L&D Nurse and I have recently been placed in charge of our fetal demise program...which currently is not very organized. Does your facility have any policies / procedures / demise forms etc...that they would be willing to share just so I have something to go by. Our forms what few there are, are so outdated and incomplete in ways. I would appreciate any assistance I can get.

  2. by   dana68
    ...I would really appreciate the forms and policies...thanks
    Last edit by NRSKarenRN on Oct 31, '10
  3. by   dana68
    sorry...put attention Dana Ware on the fax.
    Last edit by NRSKarenRN on Oct 31, '10 : Reason: Share personal contact info via email/PM
  4. by   ducknurse
    What is the area code?
  5. by   ky_grl82
    I am a NILMDTS photographer and area coordinator for the organization in Kentucky and also in school to be a RN. The reason for the policy of "no service for less than 25 week gestational babies" is to control the sheer amount of calls photographers get. It takes a lot from the photographers to do these sessions. The session is not so bad but the editing can be quite emotionally draining, esp. if there is skin tears and bruising. We love to serve these families but don't want the photographers to get burned out.

    That being said I have done a session of a 22 weeker. The baby was in good condition and that makes a big difference. The program also offers editing services only for the hospital for photos nurses take.
  6. by   HeartsOpenWide
    We try and keep them in a room as far from post-partum mom's as possible (to avoid the sound of crying babies). A comfort cart with food, drinks, and music is brought for the family. We ask them if they want the baby on their chest when it is delivered. After the initial delivery and baby brought to chest we wrap the baby and give the parents as much time as they want. They get a sentimental box for foot prints, a lock of hair, picture, ect. There is a special decorated box the baby can be placed in that absorbs any fluids and is then placed in a bassinet.
  7. by   jeanvallierelcsw
    Can you please send me an outline or whatever form your nursing protocols may be in? We need to get more sensitive care going for parents with many of our hospitals, would love to see it.
    J.Valliere, MH Consultant, Child Death Review, MCH Office of Public Health, Louisiana. Thanks and God bless.
    Last edit by ElvishDNP on Nov 16, '09 : Reason: removing email address
  8. by   jeanvallierelcsw
    Yes Please ducknurse please fax to.... Much appreciated
    Last edit by NRSKarenRN on Oct 31, '10 : Reason: Send contact info via email/PM per TOS
  9. by   Shenanigans
    In my country, across all major public hospitals, and probably most private ones, we have a lot of focus on cultural sensitivity and allowing individuals to express their faith/culture as they see fit.

    Parents are offered the remains of the foetus, and its not just with natural demise, its a requirement that a mother is offered the remains if she is having a TOP.

    We have chaplains of most faiths, can get a spiritual leader of an uncommon faith, we also have Maori cultural advisors who assist patients who identify with this ethnicity. There's also the offer of counselling of various degrees, singular or group et cetera.
  10. by   jeanvallierelcsw
    Thanks. It's great that your system is so comprehensive.
  11. by   littlesarah
    At the hospital where I work, I feel we have great staff who are very compassionate about helping families that have experienced a fetal demise at any gestation. We have multiple resources of people to provide support and information, such as specially trained RN's, case managers, social workers, chaplains if requested by the family. We provide coffee and 'treats' for the family and their support people. After the baby is born the family can choose to hold baby, take as many photos, etc... Then, when they are ready, we give the baby a bath, take photos in an outfit which the family get along with a blanket. They are also given a memory box with a small teddy bear, baby size ring and scrapbook. We make footprints, handprints and make plaster molds to send home with them if possible depending on gestation, which usually includes engraving of their names/bday/etc on the molds. We also utilize a professional service called, "Now I lay me down to sleep". Professional photograhers come to the hospital and take some amazing photos that the family can choose from. The sessions are free! There is also a yearly memorial service where all of the families who have experienced a loss and then any of the medical staff who took care of them can come. This doesn't include everything but some of the highlights.
  12. by   vlynnieg
    I have always felt the trade off of the priveledge of being a part of the happiest time in the life of a family is being there during the saddest of the sad. Fortunately, it doesn't happen that often, and even when it does it's an honor and a priviledg, as well. I feel that we at Rio Grande Regional handle these situations well. We have demise packets, with all the appropriate forms topped by an algorithm sheet that tells us how to proceed depending on whether the baby is more or less than 20 weeks. We offer our chaplain's services for those parents that need, and we have two different sized memory boxes, depending on the age of the baby. Inside are some small keepsake items, a card we all sign, a booklet entitled when hello means goodbye, and a list of resource numbers and websites for them. We take pictures of the baby and put them in the bottom of the box and offer to let them see and hold the baby if they chose to. We have a baptism kit, as well, if desired.

    If it is a first baby, I try to make correlations with some of the process with one day when they hopefully return under happier circumstances, but I'm careful how I approach this and make sure they know that this baby's memory is a treasure. Most find it reassuring that even under normal situations, that is what labor feels like, or that is what getting an epidural is like, etc.
  13. by   wbc
    Oh, how sad. When I was working I was in L&D, PP, GYN, and Neo ICU. I am and was a perinatal bereavement counselor/coordinator for RTS from LaCrosse, WI. We worked with the families closely. Our work included making sure the parents and family were able to hold their baby and say good-bye. The parents were given a packet full of information about how to cope, about how to handle grief, and what to expect. We bathed the baby, dressed them in some gorgeous little handmade outfits provided by a ladies group at church, wrapped them in warm blankets, and took them to the room. It's rewarding work. If you're interested in OB nursing consider becoming a counselor with RTS and implementing a program. If you have to some kind of project for a class this would be perfect. Enjoy your career, it's the best despite the junk.

    Winona Cross, BSN, RN