Background: Nursing and medical staff in maternity and gynaecological settings regularlycare for patients experiencing miscarriage, neonatal death and stillbirth as part of theirwork. Qualitative reports have suggested that perinatal death takes a significant emotionaltoll on staff but to date, reported distress has not been quantified.Objectives: The present study, using Lazarus and Folkman’s transactional model of stress,explored the extent of staff distress, and its predictive factors, in a sample of UnitedKingdom nursing and medical staff.