{"id":495,"date":"2025-08-14T13:43:47","date_gmt":"2025-08-14T11:43:47","guid":{"rendered":"https:\/\/www.fondazione.ciaolapo.it\/2025\/08\/14\/the-unsureness-study\/"},"modified":"2025-08-14T13:45:16","modified_gmt":"2025-08-14T11:45:16","slug":"the-unsureness-study","status":"publish","type":"post","link":"https:\/\/www.fondazione.ciaolapo.it\/en\/2025\/08\/14\/the-unsureness-study\/","title":{"rendered":"The UNSURENESS study."},"content":{"rendered":"<p>A pregnancy following a perinatal death is never &#8220;just another pregnancy.&#8221; It is a complex journey in which intense emotions &#8211; grief, fear, hope &#8211; and specific clinical needs are intertwined. Caring for these pregnancies requires attention, continuity, technical expertise and communication sensitivity.  <\/p>\n<p>Our new study, <strong>UNSURENESS (sUpportiNg subSeqUent pREgnaNcy after pErinatal loSS)<\/strong>, published in <em>Journal of Clinical Medicine<\/em>, investigates how Italian health care providers deal with this challenge.<\/p>\n<hr>\n<h2>Why this study<\/h2>\n<p>Every year, hundreds of families in Italy experience a perinatal death. More than half undertake a new pregnancy within a year. In this context, the role of health professionals is crucial: accompanying parents means not only providing clinical oversight, but also recognizing and welcoming grief, building trust, fostering shared decision-making, and supporting psychological well-being.  <\/p>\n<p>Despite the existence of recommendations from scientific societies, Italy lacks binding national guidelines and structured pathways. The UNSURENESS Study was created to take a snapshot of the current situation and identify the main training and organizational needs. <\/p>\n<hr>\n<h2>How it was conducted<\/h2>\n<p>We conducted a national online survey (August 2023-February 2024) targeting health care providers dealing with pregnancy following perinatal bereavement.<br \/>\n<strong>Two hundred female professionals<\/strong>, mostly midwives, from all over Italy participated. The questionnaire explored professional experience, training received, communication approaches, and clinical management criteria. <\/p>\n<hr>\n<h2>What we found<\/h2>\n<ul>\n<li><strong>Insufficient training<\/strong>: only one-third of the participants had received specific training on how to assist these pregnancies.<\/li>\n<li><strong>Priority aspects<\/strong>: addressing previous loss with parents, establishing a trusting relationship, sharing clinical decisions, and providing complete information.<\/li>\n<li><strong>Major challenges<\/strong>: managing parents&#8217; fears and offering appropriate reassurance.<\/li>\n<li><strong>Decision criteria<\/strong>: continuity of care and respect for parental preferences were found to be more influential than guidelines or scientific evidence.<\/li>\n<li><strong>Multidisciplinary collaboration<\/strong>: widespread, but with still uneven integration of psychological support into care pathways.<\/li>\n<\/ul>\n<hr>\n<h2>Why it is important<\/h2>\n<p>It is clear from our survey that there is a need:<\/p>\n<ul>\n<li><strong>Structured, trauma-informed training<\/strong> for all professionals involved;<\/li>\n<li><strong>National guidelines<\/strong> to ensure uniformity and quality of care;<\/li>\n<li><strong>Stable integration of psychological support<\/strong> in all care settings;<\/li>\n<li><strong>Continuity of care pathways<\/strong> that accompany the family from pre-conception to postpartum.<\/li>\n<\/ul>\n<p>Investing in these areas means reducing the risk of new trauma, improving the caregiving experience, and contributing to the long-term well-being of parents and children.<\/p>\n<hr>\n<p>\ud83d\udcc4 <strong>Read the full article (Open Access)<\/strong>: <a href=\"https:\/\/www.mdpi.com\/2077-0383\/14\/16\/5748\">Management of Subsequent Pregnancy After Perinatal Death: Results from the UNSURENESS Study<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>A pregnancy following a perinatal death is never &#8220;just another pregnancy.&#8221; It is a complex journey in which intense emotions &#8211; grief, fear, hope &#8211; and specific clinical needs are&hellip;<\/p>\n","protected":false},"author":1,"featured_media":493,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[21,34],"tags":[],"class_list":["post-495","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-search","category-search-en"],"_links":{"self":[{"href":"https:\/\/www.fondazione.ciaolapo.it\/en\/wp-json\/wp\/v2\/posts\/495","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.fondazione.ciaolapo.it\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.fondazione.ciaolapo.it\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.fondazione.ciaolapo.it\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.fondazione.ciaolapo.it\/en\/wp-json\/wp\/v2\/comments?post=495"}],"version-history":[{"count":1,"href":"https:\/\/www.fondazione.ciaolapo.it\/en\/wp-json\/wp\/v2\/posts\/495\/revisions"}],"predecessor-version":[{"id":498,"href":"https:\/\/www.fondazione.ciaolapo.it\/en\/wp-json\/wp\/v2\/posts\/495\/revisions\/498"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.fondazione.ciaolapo.it\/en\/wp-json\/wp\/v2\/media\/493"}],"wp:attachment":[{"href":"https:\/\/www.fondazione.ciaolapo.it\/en\/wp-json\/wp\/v2\/media?parent=495"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.fondazione.ciaolapo.it\/en\/wp-json\/wp\/v2\/categories?post=495"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.fondazione.ciaolapo.it\/en\/wp-json\/wp\/v2\/tags?post=495"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}