Perinatal loss often occurs in the context of discovery of a medical condition that presents patients and healthcare providers (HCPs) with difficult choices. Treatment choices are influenced by medical technology, however inescapable prognostic uncertainty, coupled with shared decision-making can lead to ethical dilemmas (Graf et al., 2023) [1]. When patients experience perinatal loss HCPs must grapple with their own emotions. Their sense of grief arises from their empathic connection with patients, bearing witness to their grief. This grief may compound HCP moral distress. Moral distress has an element of emotion, however it is more than distress in tragic situations. Moral distress is linked to HCPs feeling responsible to take action (Dudzinski, 2016) [2]. In situations of perinatal loss, it is essential to acknowledge the grief and explore how it influences the experience of moral distress. This article will reflect on the impact of HCP grief in ethically complex situation of perinatal loss.

围产期损失通常发生在发现某种医疗状况的背景下，这给患者和医疗保健提供者 (HCP) 带来了艰难的选择。治疗选择受到医疗技术的影响，然而不可避免的预后不确定性加上共同决策可能会导致道德困境（Graf 等人，2023）[1]。当患者经历围产期损失时，医护人员必须应对自己的情绪。他们的悲伤感源于与患者的共情联系，见证了他们的悲伤。这种悲痛可能会加剧 HCP 的道德困境。道德困扰包含情感因素，但它不仅仅是悲惨情况下的痛苦。道德困境与 HCP 感觉有责任采取行动有关（Dudzinski，2016）[2]。在围产期丧亲的情况下，必须承认悲伤并探索它如何影响道德困扰的经历。本文将反思 HCP 悲伤对围产期损失的伦理复杂情况的影响。