Bereavement Support for Miscarriage

1.Perform hand hygiene.
2.Verify correct patient using two identifiers.
3.Ensure patient privacy.
4.Place a card or symbol on the patient's door indicating pregnancy loss if loss is known on admission.
5.Provide ongoing support to the patient and family. Perform any necessary teaching regarding procedures and what to expect before and after delivery.
6.Perform hand hygiene and apply clean gloves.
7.Prepare the patient for induction of labor as needed.
8.Discard used supplies, remove gloves, and perform hand hygiene. Apply clean gloves.
9.Record time of delivery of the infant.
10.Administer oxytocin or other medications according to the practitioner's orders and assist with fundal massage.
11.Dry the infant and place on radiant warmer.
12.Complete matching identification bracelets for patient and infant.
13.Once the infant is clean and dressed, wrap the infant in warm blanket and hat.
14.The family should be told what to expect regarding the appearance of the infant at birth, prior to delivery. Every expecting family has a hope for the perfect infant. It can be shocking to see an infant at delivery when complications exist, anomalies are present, or there has been an extended period since the time of death.
15.Offer the family an opportunity to hold the infant for as long as desired.
16.Remove gloves and perform hand hygiene. Apply clean gloves.
17.Label and send placenta to pathology laboratory as per the practitioner's orders.
18.Assist the practitioner with repair of episiotomy or lacerations.
19.Remove gloves and perform hand hygiene.
20.Explain to the family the procedure for obtaining memories of the infant.
21.Transport the infant in the radiant warmer to nursery or other holding area.
22.Obtain memories of the infant for the family to take home.
23.Photo (following bath)
24.Lock of hair (with family permission)
25.Footprints and handprints
26.ID bracelets
27.Infant hat, blankets, or clothing worn
28.Bathe the infant and dress in clothes provided by the patient or the institution.
29.Offer the family an additional opportunity to hold the infant following the bath.
30.Encourage the family to have other family members or support visit or hold the infant if they desire.
31.Offer social services or chaplain support to discuss funeral or other arrangements.
32.Explain the options that are available and assist the family in making those decisions.
34.Organ donation
35.Complete the required documentation, depending on gestational age, for fetal death or infant death.
36.Contact the funeral home as needed.
37.Perform hand hygiene.
38.Document the procedure in the patient's record.