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Uvod: O intrauterini smrti ploda govorimo o plodu, ki v maternici ne kaže nobenih znakov življenja. Vprašanje, na katero si želi odgovoriti vsak starš, ki se sooča s tem tragičnim dogodkom, je "Zakaj je prav moj otrok umrl?". Na to vprašanje ni vedno mogoče odgovoriti. Pri skoraj polovici mrtvorojenih otrok ni ugotovljenega vzroka smrti. Definicije intrauterine smrti ploda se razlikujejo od države do države. Izguba otroka je za mnoge družine težka in žalostna resničnost, ki resno vpliva na zdravje in počutje družin. Namen: Namen diplomskega dela je bolj poglobljeno raziskati izbrano temo s pomočjo strokovne in znanstvene literature, saj se kot babice in babičarji pogosto srečujejo z intrauterino smrtjo ploda v kliničnem okolju. Metode dela: Diplomsko delo temelji na pregledu slovenske ter tuje strokovne in znanstvene literature. V prvem delu diplomskega dela je za raziskovanje uporabljena deskriptivna metoda dela, v drugem delu pa je prav tako uporabljena kvalitativna metoda, kjer sta izvedena nestrukturirana intervjuja z dvema ženskama, ki sta se soočili s smrtjo ploda v času nosečnosti. Udeleženki smo pred začetkom raziskave pisno seznanili z namenom in potekom raziskave ter jim zagotovili, da so vsi zbrani podatki anonimni in uporabljeni izključno za namen izdelave diplomskega dela. Rezultati: Rezultati so odgovori na vprašanja, na katera sta odgovarjali dve ženski, ki sta se soočili s smrtjo ploda v maternici. Ženska A je doživela intrauterino smrt v 32. tednu, ženska B pa v 38. tednu nosečnosti. Iz odgovorov žensk razberemo, da sta obe doživeli šok in stisko, svet se jima je zaustavil ob novici, da plodovo srce ne bije več. Intervjuvanki sta povedali, da so jima spomini na izgubljenega otroka pomagali pri procesu žalovanja. Pri eni intervjuvanki smo zasledili izboljšanje partnerskega odnosa, pri drugi pa žal obratno. Iz naših izsledkov sta obe intervjuvanki potrdili, da so se njuni partnerji zaprli vase. Za moške je značilno, da svoje občutke potlačijo in tako svojih partnerk ne želijo obremenjevati s svojo stisko, ampak jih želijo zaščititi. Obe intervjuvanki sta bili zadovoljni z odnosom s strani babic in medicinski sester. Poudarjata pa, da je zelo pomemben empatičen, potrpežljiv in individualno usmerjen pristop s strani zdravstvenih delavcev. Razprava in zaključek: Starši pričakujejo, da bodo umrli pred svojimi otroki, zato je izguba ploda ena izmed najtežjih preizkušenj v življenju, s katero se morajo starši soočiti. Zdravstveno osebje naj nudi pomoč in podporo družinam, ki se soočajo z izgubo. Zdravstvenemu osebju je treba zagotoviti klinično in psihološko podporo ter učinkovito ustrezno usposabljanje, saj obravnava takšnih primerov ne bo nikoli lahka. Introduction: Intrauterine fetal death is a fetus that shows no signs of life in the womb. The question that every parent facing this tragic event wants to answer is, “Why exactly did my child die?”. This question cannot always be answered. The cause of death has not been identified in almost half of stillborn children. Definitions of intrauterine death vary from country to country. The loss of a child is a difficult and sad reality for many families, which seriously affects the health and well-being of families. Purpose: The purpose of the diploma thesis is to explore the selected topic in more depth with the help of professional and scientific literature, as midwives often encounter intrauterine fetal death in a clinical setting. Methods: The diploma thesis is based on a review of Slovenian and foreign professional and scientific literature. In the first part of the diploma work, for research is used a descriptive method of work. In the second part, a qualitative method is used, where unstructured interviews are conducted with two women who faced fetal death during pregnancy. Prior to the initial research, we informed the participants in writing about the purpose and course of the research and assured them that all collected data are anonymous and users exclusively for the purpose of preparing a diploma thesis.Results: The results are answers to questions answered by two women who faced fetal death in utero. Woman A experienced intrauterine death in the 32nd week and woman B in the 38th week of pregnancy. From the women's answers, we learn that they both experienced shock and distress, the world stopped at the news that the fetal heart was no longer beating. The interviewees said that the memories of the lost child helped them in the mourning process. In one interviewee, we noticed an improvement in the partnership, and in the other, unfortunately, the opposite. From our findings, both interviewees confirmed that their partners were introverted. It is characteristic of men that they suppress their feelings and thus do not want to burden their partners with their distress, but wants to protect them. Both interviewees were satisfied with the attitude on the part of the midwives and nurses. However, they emphasize that an empathetic, patient and individual-oriented approach by health professionals is very important. Discussion and conclusion: Parents expect to die in front of their children, so the loss of a fetus is one of the most difficult trials in life that parents have to face. Healthcare professionals should offer help and support to families facing loss. Clinical and psychological support and effective appropriate training should be provided to healthcare professionals, as dealing with such cases will never be easy.

V magistrskem delu smo raziskovali travmatično žalovanje in njegovo povezanost s stopnjo stresa, s stopnjo zdravja primarne družine ter načinom izgube in odnosom s pokojno osebo. V prvem delu magistrskega dela poglobljeno razložimo pojem »travmatično žalovanje«. V teoretičnem delu tako razčlenimo besedilo o procesu žalovanja in vrstah pomoči, ki so nam na voljo ter poudarimo pomembnost preventive na tem področju. Ob tem pregledamo vlogo duhovnosti, družbe in najpomembneje, vlogo relacijskega terapevta v terapevtskem procesu v primeru travmatičnega žalovanja. Predstavili smo razlikovanje med travmatičnim žalovanjem ter ostalimi duševnimi motnjami, opredeljenimi v DSM-V. Pobliže si ogledamo doživljanje stresa v primeru travmatičnega žalovanja in njuno prepletenost ter pomen zdravja v primarni družini. Ob zaključku teoretičnega dela opozorimo na travmatičen način izgube bližnje osebe ter na odnos, ki ga je pred izgubo imel žalujoči s pokojno osebo. V raziskovalnem delu smo preverjali štiri hipoteze. V raziskavi je sodelovalo 34 moških (25,8%) in 98 žensk (74,2%). Rezultati so pokazili, da travmatično žalovanje ni statistično pomembno povezano z zdravjem primarne družine, je pa statistično pomembno povezano s stopnjo doživljanja stresa. Rezultati so pokazali, da bolj, kot je žalovanje travmatično, večjo stopnjo stresa doživlja posameznik. Nadalje je iz rezultatov razvidno, da med skupinama tistih, ki so izgubili otroka in tistih, ki so izgubili starša, ne obstaja statistično pomembno razlika, obstaja pa med skupinama, ki so izgubile bližnjo osebo na različne načine. Rezultati so pokazali, da osebe, ki so izgubili bližnjo osebo nenadne smrti, žalujejo bolj travmatično v primerjavi z osebami, ki so izgubile osebo pričakovane smrti. The author in this thesis investigates traumatic grieving and its connection with the level of stress, the level of health of primary families and with the nature of loss and with the relationship with the deceased person. In the first part, the theoretical part, the term "traumatic mourning" is thoroughly explained. Through the theoretical part, she breaks down the grieving process and in shows what kind of help is available and talks about preventive measures in the area of grieving process. In this light, she examines the role of spirituality, society and most important, the role of a relational family therapists in the therapeutic process in case of traumatic mourning. The author presents a distinction between traumatic grief and other mental disorders defined in DSM-V. She looks closely stress in case of traumatic mourning and their intertwining and the importance of health in the primary family. In the conclusion of the theoretical part, the author warns about traumatic ways of loss and the type of relationship that a grieving person had with the deceased before the loss. In the empirical part the author examined four hypotheses. The survey involved 34 men (25.8%) in 98 women (74.2%). The results showed no statistically significant correlations of traumatic mourning to the health of the primary family, but it is statistically significantly correlated to the degree of stress experienced. The results show that the higher the score of traumatic grieving, the higher the level of stress is experienced by the individual. Furthermore, it can be seen from the results that there are no statistically significant differences between groups of those who have lost a child in those who have lost their parents, but there is a difference between groups who have lost loved ones in different ways. Results show, that the level of traumatic grieving is higher with those, who have lost someone in an unpredicted way, in comparison with those who were expecting loss.