Abstract Background: Intrauterine fetal demise (IUFD) is a profoundly distressing obstetric outcome, affecting approximately 1 in 160 pregnancies worldwide. Beyond the clinical implications, IUFD triggers intense psychological and emotional grief in mothers and families. This study presents a case series managed at a tertiary center, emphasizing the role of comprehensive grief assessment and compassionate care in restoring hope after such loss. Methods: We report six cases of IUFD between 25-40 weeks gestation, complicated by conditions including gestational hypertension, chorioamnionitis, intrahepatic cholestasis, hypothyroidism, and gestational diabetes. All patients underwent safe vaginal deliveries with individualized peripartum management. Despite clinical diversity, shared emotional patterns-shock, denial, guilt, and profound grief-were observed. Grief severity was quantified using the Perinatal Grief Scale (PGS), complemented by depressive symptom screening via the Edinburgh Postnatal Depression Scale (EPDS), at baseline and post-intervention. Intervention and Support: A multidisciplinary, trauma-informed approach was implemented, encompassing clear, empathetic communication, and counseling by trained professionals. Postpartum care included contraceptive counseling, spiritual and family support, and scheduled follow-ups. Results: Serial assessments demonstrated significant reductions in grief and depressive symptoms, indicating improved coping and psychosocial stabilization. This structured bereavement model fostered resilience, guiding mothers from despair toward hope. Conclusion: IUFD is a life-altering event with deep emotional consequences. Integrating systematic grief assessment with compassionate, multidisciplinary care optimizes psychological recovery and honors maternal resilience. Continued research is essential to refine protocols and enhance support for bereaved families.
Garg et al. (Sun,) studied this question.