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Perinatal Grief and Loss
Transcript of Perinatal Grief and Loss
families experienced the death of a baby
within the perinatal period Grief associated with perinatal loss was first
published within nursing literature in 1962.
Following this however, no articles were
published in medical journals until Patrick Giles,
an obstetrician from Western Australia, in 1970 Loss: Parting with something
Mourning: process of undoing psychological bonds
Grief: process associated with loss, the emotional
component to loss and the complete amalgam of
painful effects towards the process of healing
Stillbirth: the definition of stillbirth relates to a baby
weighing more than 500 grams or being born after
22 weeks of pregnancy (ISA, 2006). Grief has been described as an emotion that draws us towards what is missing, arising as it does from an awareness of a discrepancy between the world that is and the world that should have been Common emotional responses span from shock, anger and denial to sadness, guilt, confussion and lonliness The unique nature of perinatal loss may be attributed to the fact that the baby is only known by the mother and as such, the grief is one of privacy and intimate in nature, often mourned solely by the parents Furthermore, perinatal loss involves mourning part of oneself which differs from losing an object separate from the self Modern medicine has allowed women an early awareness
of their developing foetus which increases attachment
and can accentuate the grief of loss Attachment between mothers and their deceased
infant can continue for many years, and without
effective meaning making, the loss can amalgamate
into complicated grief which can last a lifetime The experience of death at birth can be
constructed as a major existential dilemma
generating very prominent meaning making Due to the meaning making component
of dealing with perinatal grief, religiosity
may be a protective factor in coping
with adverse events Uren and Wastell (2002) found within their study
that many women feel their social milieu fails to
provide them with an atmosphere to grieve. The support of family and wider systems
has been illustrated to have an effect on
postnatal depressive symptom severity Crisis intervention has typically been
delivered by health care professionals
whose primary concern is founded within a
medical model Narrative therapy allowed parents to understand their connection with social and cultural contexts by reflecting on experiences and contrasting these with others who may not have undergone such an experience Barkway, P. (1997). Perinatal death: A phenomenological study of bereaved parents’ experiences. Unpublished masters thesis, Flinders University of South Australia, Australia/
Barr, P. (2004). Guilt-and shame-proneness and the grief of perinatal bereavement. Psychology and Psychotherapy, 77, 493-510.
Bennett, S. M., Ehrenreich-May, J., Litz, B. T., Boisseau, C. L. & Barlow, D. H. (2012). Development and Preliminary Evaluation of a Cognitive- Behavioural Intervention for Perinatal Grief. Cognitive and Behavioural Practice. 19, 161-173.
Bennett, S. M., Litz, B. T., Lee, B. S., Maguen, S., & Ehrenreich, J. T. (2008). An exploriatry study of the psychological impact of perinatal loss. Journal of Loss and Trauma, 13, 485-510.
Berman, M. R. (2001). Parenthood lost: Healing the pain after miscarriage, stillbirth, and infant death. Westport, CT: Bergin and Garvey.
Beuneyer, R. A. (2000). Lessons of Loss: A Guide to Coping. Keystone Heights, FL, PsychoEducational Resources, Inc. (PER).
Bingham, R. (2006). Annotated bibliography of NINR findings on women’s health in pregnancy and childbirth. Journal of Obstertric, Gynecologic, Neonatal Nursing, 35 (3), 403-407.
Black, H. K. and Rubinstein, R. L. (2000). Old Souls: Aged Women, Poverty, and the Existence of God, New York, Aldine de Gruyter.
Bowlby, J. (1980). Loss, Vol. 3: Sadness and Depression. London. Penguin.
Bowlby, J. (1998). Loss: Sadness and Depression. London: Pimlico.
Brownlee, K., & Oikonen, J. (2004). Towards a theoretical framework for perinatal bereavement. British Journal of Social Work. 34, 517-529.
Cacciatore, J. (2010). The unique experiences of women and their families after the death of a baby. Social Work in Health Care. 49,l 134-148.
Cacciatore, J. (2007). Effects of support groups on post traumatic stress responses in women experiencing still birth. Omega: Journal of Death and Dying. 55, 1, 71-91.
Cornwell, J., Nurcombe, B., & Stevens, L. (1977). Family response to loss of a child by suddern infant death syndrome. The Medical Journal of Australia. 1, 656-658.
Cote- Arsenault, D., & Bidlacl, D. (2001). Women’s emotions and concerns during pregnancy following prenaital loss. The American Journal of Maternal Child Nursing 26, 128-134.
Cote-Aresnault, D., Bidlcak, D. and Humm, A. (2001). ‘Women’s emotions and concerns during pregnancy following perinatal loss’, Maternal Child Nursing, 26, 3, 128-134.
Cote-Aresnault, D., & Mahlangu, N. (1999). Impact of Perinatal Loss on the subsequent pregnancy and self: Women’s experiences. Journal of Obsetric, Gynecologic, and Neonatal Nursing, 28, 274-282.
Davis, C. G., Wortman, C. B., Lehman, D. R. and Silver, R. C. (2000). Searching for meaning in loss: Are clinical assumptions correct? Death Studies, 24, 497-540.
DeFrain, J. (1991). Learning about grief from normal families: SIDS, stillbirth, and miscarriage. Journal of Marital and Family Therapy. 17, 215-232.
DiMacro, M. A., Menke, E. M. and McNamara, T. (2001) ‘Evaluating a support group for perinatal loss’, American Journal of Maternal Child Nursing, 26, 135-140.
Engler, A. J. and Lasker, J. N. (2000). ‘Predictors of maternal grief in the year after a newborn death’. Illness, Crisis and Loss. 8, 3, 227-243.
Erlandsson, K., Saflund, K., Wredling, R. & Radestad, I. (2011). Support after stillbirth and its effects on parental grief over time. Journal of Social Work in End of Life and Palliative Care, 7, 139-152.
Foetus and Newborn Committee, Canadian Paediatric Society (2001). ‘Guidelines for health care professionals supporting families experiencing a perinatal loss’, Paediatrics and Child Health, 6, 71, 469-477.
Fowles, E. R. (1996). ‘Relationships amount prenatal maternal attachment, presence of postnatal depressive symptoms, and maternal role attachment’, Journal of the Society of Paediatric Nurses, 1, (2), 75-82.
Fraley, R. C. & Shaver, P. R. (1999). Loss and bereavement: Attachment theory and recent controversies concerning ‘grief work’ and the nature of detachment, In Cassidy, J. & Shaver, P. R. (1996), Handbook of Attachment. New York: Guilford Press.
Friedrichs, J., Daly, M. I. and Kavanaugh, K. (2000). ‘Follow-up of parents who experience a perinatal loss: Facilitating grief and assessing for grief complicated be depression’, Illness, Crisis and Loss, 8, 3, 296-309.
Furman, E. (1996). On motherhood. The Journal of the American Psychoanalytic Society. 44, 429-447.
Geller, P. A., Kerns, D., & Klier, C. M. (2004). Anxiety following miscarriage and the subsequent pregnancy: A review of the literature and future directions. Journal of Psychosomatic Research, 56, 35-45.
Geller, P. A., Klier, C. M., & Neugebauer, R. (2001). Anxiety disorders following miscarriage. The Journal of Clinical Psychiatry, 52, 432-438.
Gensch, B. K and Midland, D. (2000). ‘When a baby dies: A standard of care’, Illness, Crisis and Loss, 8, 3, 286-295.
Goldbach, K. R. C., Dunn, D. S., Toedter, L. J. & Lasker, J. N. (1991). The effects of gestational age and gender on grief after pregnancy loss. The American Journal of Orthopsychiatry, 61, 3, 461-467.
Hughrd, P., Turton, P., Hopper, E., & Evans, C. D. H. (2002). Assessment of guidelines for good practice in psychosocial care of mothers after stillbirth: A cohort study. Lancet, 360, 114-118.
Hutti, M. H. (2005). Social and professional support meeds of families after perinatal loss. Journal of Obsteric, Gynecological and Neonatal Nurses, 34 (5), 630-638.
International Stillbirth Alliance. (2006). Retrieved from http://stillbirthalliance.org
Johnson, M. P & Puddifoot, J. E. (1996). The grief response in partner’s of women who miscarry. British Journal of Medical Psychology. 69, 4, 313-327.
Kavanaugh, K. and Paton, J. B. (2001). ‘Communicating with parents who experience perinatal loss’. Illness, Crisis and Loss, 9, 4, 369-380.
Klass, D. (1999). The spiritual lives of bereaved parents. Philadelphia: Brunner Routledge.
Kendall-Trackett, K. A. (2004). Trauma Associated with Perinatal Events: Birth Experiences, Prematurity, and Childbearing Loss: The Handbook for Women, Stress and Trauma. New York: Taylor and Francis.
Klier, C. M., Geller, P. A., & Neugebauer, R. (2000). Minor depressive disorder in the context of miscarriage. Journal of Affective Disorders, 59, 13-21.
Klier, C. M., Geller, P. A., & Ritsher, J. B. (2002). Affective Disorders in the aftermath of miscarriage: A comprehensive review. Archives of Women’s Mental Health, 5.129-149.
Lasker, J. N & Toedter, L. J. (1991) Acute vs chronic grief: The case of pregnancy loss. The American Journal of Orthopsychiatry, 61, 4, 510-522.
Leon, I. G. (2001). Perinatal Loss. In N. Stotland, & D. Stewart (Eds.), Psychological aspects of women’s health care: The interface between psychiatry and obstetrics and gynaecology (pp. 141-173)., 2nd ed. Washington DC: American Psychiatric Press.
Lindergren, K. (2001). ‘Relationships amoung maternal-fetal attachment, prenatal depression, and heal practices in pregnancy’ Research in Nursing and Health, 24, 230-217.
McCoyd, J. (2010). A bio-psycho-social assessment of maternal attachment in pregnancy and fetal loss. Journal of Social Work, 2, 131-147.
McIntosh, D. N., Silver, R. C., & Wortman, C. B. (1993). Religion’s role in adjustment to a negative life experience: Coping with the loss of a child. Journal of Personality and Social Psychology. 65, 812-821.
Middleton, W., Raphael, B., Martinek, N., & Misson, V. (1993). Pathology grief reactions. In M. S. Stroebe, W. Stroebe, & R. O. Hansson (Eds.), Handbook of bereavement (pp.44-61). Cambridge, England: Cambridge University Press.
Muller, M. E. (1996). ‘Prenatal and postnatal attachment: A modest correlation’, Journal of Gynaecology and Neonatal Nursing, 25, (2), 161-166.
Neimeyer, R. A. (2000). Searching for the meaning of meaning. Grief therapy and the process of reconstruction. Death Studies, 24, 541-558.
Norman, J. (2000). ‘Constructive narrative in arresting the impact of post-traumatic stress disorder’, Clinical Social Work Journal, 28, 303-319.
Parks, C. M. (1993). Bereavment as a psychosocial transition: Processes of adaption to change. In M. S. Stroebe, R. O. Hansson, W. Strobe, & H. Schut (Eds.), Handbook of bereavement (pp. 91-101). Cambridge, England: Cambridge University Press.
Prettyman, R. J., Cordle, C, J. and Cook, G. D. (1993). ‘A three-month follow-up of psychological morbidity after early miscarriage. British Journal of Medical Psychology. 66, 363-372.
Prochaska, J. O. and Norcross, J. C. (1999). Systems of Psychotherapy: A Transtheoretical Analysis, 4th Ed. Pacific Grove. CA, Brooks/Cole Publishing Company.
Raphael, B. (1983). The anatomy of bereavement. New York: Basic Books.
Rich, D, E. (2000). ‘The impact of postpregnany loss services on grief outcome: Integrating research and practice in the design of perinatal bereavement programs’, Illness, Crisis and Loss, 8 (3), 244-264.
Robinson, M., Barker, L., & Nackerud, L. (1999). The relationship of attachment theory and perinatal loss. Death Studies, 23, 266-273.
Rubin, S. (1984). Maternal attachment and child death: On adjustment, relationship, and resolution. Omega: Journal of Death and Dying, 15, 347-352.
Rubin, S. S., Malkinson, R., & Witzum, E. (2003). Trauma and bereavement: Conceptual and clinical issues revolving around relationships. Death Studies, 27, 8, 667-690.
Schuchter, S. R., & Zisook, S. (1993). The course of normal grief. In M. S. Stroebe, W. Stroebe, & R. O. Hansson, (Eds.), Handbook of bereavement )pp. 23-43). Cambridge, England: Cambridge University Press.
Schwartzberg, S. S. (1993). Struggling for meaning. How HIV-positive gay men make sense of AIDS. Professional Psychology: Research and Practice, 24. 483-490.
Strobe, M. S., Hansson, R. O., & Stroebe, W. (1993). Contemporary themes and controversies in bereavement research. Handbook of bereavement (pp.23-43). Cambridge, England: Cambridge University Press.
Silver, R. (2007). Fetal death. Obstetrics and Gynaecology. 109, 1, 153-165.
Tait, R., & Silver, R. C. (1989). Coming to terms with major negative life events. In J. S Uleman & J. A. Bargh (Eds.), Unintended thought (pp. 351-381). New York: Guilford Press.
Toedter, L. J., Lakser, J. N., & Janssen, H. J. E. M. (2001). International comparison of studies using the Perinatal Grief Scale: A decade of research on pregnancy loss. Death Studies, 25, 205-228.
Turton, P., Hughes, P., Evans, C. D. H., & Fainman, D. (2001). Incidences, correlates and predictors of post traumatic stress disorder in the pregnancy after stillbirth. The British Journal of Psychiatry, 178, 556-560.
Uren, T/., & Wastell, C. (2002). Attachment and Meaning Making in Parental Bereavement. Death Studies, 26: 279-308.
Vance, J. C., Najam, J. M., Thearle, M. J., Embelton, G., Foster, W. J., & Boyle, F. M. (1995). Psychological changes in parents eight months after the loss on an infant from stillbirth, neonatal death, or Sudden Infant Death Syndrome: A longitudinal study. Pediartics, 96, 933-938.
Wheeler, S. R. (2001). ‘Parental bereavement: The crisis of meaning’, Death Studies, 25, 51-66.
Wing, D. G., Clance, P. R., Burge- Callaway, K., and Armistead, L. (2001). ‘Understanding gender differences in bereavement following the death of an infant: Implications for treatment’. Psychotherapy, 38, 1, 60-71.
Ujda, R. M. and Bendiksen, R. (2000). ‘Health care provider support and grief after perinatal loss: A qualitative study’, Illness, Crisis and Loss, 8, 3, 265-285.