Never a simple journey: pregnancy following perinatal loss

Abstract More than half of families who experience the death of an infant, either pre-birth or shortly after, go on to have another pregnancy. But the psychological impact of the previous loss may not be acknowledged by family members, friends and care-givers. Parents may experience symptoms of post-traumatic stress disorder; they may fail to attach to the new child. This article outlines the fears commonly reported by parents who have a second pregnancy after loss, and their struggles to come to terms with the coming birth of the new baby in the shadow of the death of its sibling. It goes on to describe the pregnancy after loss (PAL) group set up by the author and a colleague that uses family education methods to help these parents acknowledge and overcome their fears and build healthy bonds with their new baby.

[1]  P. Turton,et al.  Incidence, correlates and predictors of post-traumatic stress disorder in the pregnancy after stillbirth , 2001, British Journal of Psychiatry.

[2]  J. O'Leary,et al.  Fathers' perspectives during pregnancy, postperinatal loss. , 2006, Journal of obstetric, gynecologic, and neonatal nursing : JOGNN.

[3]  D. Côté-Arsenault,et al.  Watching & Worrying: Early Pregnancy After Loss Experiences , 2006, MCN. The American journal of maternal child nursing.

[4]  M. Dombeck,et al.  MATERNAL ASSIGNMENT OF FETAL PERSONHOOD TO A PREVIOUS PREGNANCY LOSS: RELATIONSHIP TO ANXIETY IN THE CURRENT PREGNANCY , 2001, Health care for women international.

[5]  C. Cordle,et al.  A 2-year follow-up of women who have experienced early miscarriage , 1994 .

[6]  D. Morrison-Beedy,et al.  Women's voices reflecting changed expectations for pregnancy after perinatal loss. , 2001, Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing.

[7]  R. Rubin Maternal tasks in pregnancy. , 1976, Journal of advanced nursing.

[8]  P. Rosenblatt Parents talking in the present tense about their dead child , 2000 .

[9]  C. Gaziano,et al.  Born after Loss: The Invisible Child in Adulthood , 2006 .

[10]  J. C. Kuijpers,et al.  Miscarriage and stillbirth: time since the loss, grief intensity and satisfaction with care. , 1993, European journal of obstetrics, gynecology, and reproductive biology.

[11]  James W. Pennebaker,et al.  Opening up : the healing power of expressing emotions , 1990 .

[12]  J. O'Leary Grief and its impact on prenatal attachment in the subsequent pregnancy , 2004, Archives of Women’s Mental Health.

[13]  Assessment of guidelines for good practice in psychosocial care of mothers after stillbirth: a cohort study , 2002, The Lancet.

[14]  S. Fraiberg,et al.  Ghosts in the Nursery: A Psychoanalytic Approach to the Problems of Impaired Infant-Mother Relationships , 1975 .