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Miscarriage, SUDI and neonatal death: paramedic experience and practice

02 December 2020
Features
02 December 2020
Volume 12 · Issue 12

Abstract

This article aims to provide an exploratory investigation into paramedic experiences of attending cases of miscarriage, sudden and unexpected death in infancy (SUDI) and other forms of neonatal loss. It draws on a background literature review, but focuses primarily on exploring issues raised by paramedics during a structured discussion group on this topic. Existing literature highlights the ways in which baby and infant death is one of the most stressful and challenging areas of paramedic practice. Paramedics participating in our discussion group reinforced this issue, identifying five key areas of concern: baby loss as a rare occurrence, resuscitation, lack of information concerning the post-admissions process, professional closure, and support to parents. Further research is needed, along with better support and guidelines to assist paramedics with a wide range of issues from resuscitation to bereavement.

Paramedics are often called out to cases of miscarriage and may be the first professionals on scene in cases of sudden and unexpected death in infancy (SUDI). Limited attention has been paid, however, to this particular aspect of paramedic work. Research frequently shows that of all the events paramedics attend, infant and child death is often reported as one of the most distressing ones (Regehr et al, 2002; Douglas et al, 2012; Boyle, 2013). It is crucial therefore to shed light on this neglected area of paramedic practice. This is a scoping paper which offers a brief analysis of existing literature. The main part of the paper focuses on exploring key concerns raised by paramedics during a structured discussion which focused on issues that paramedics found particularly challenging regarding cases of baby loss. The overall purpose of this paper is to identify gaps in existing knowledge, illuminating key areas for development in future research and training.

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Pregnancy loss
Miscarriage
Neonatal death
SUDI