Complicated grief after perinatal loss

Department of Psychosomatic Medicine, University of Leipzig, Germany.
Dialogues in clinical neuroscience 06/2012; 14(2):187-94.
Source: PubMed


The loss of an infant through stillbirth, miscarriage, or neonatal death is recognized as a traumatic life event. Predictors of development of complicated grief after prenatal loss include lack of social support, pre-existing relationship difficulties, or absence of surviving children, as well as ambivalent attitudes or heightened perception of the reality of the pregnancy. Risk of complicated grief was found to be especially high after termination of a pregnancy due to fetal abnormality. Studies have revealed that men and women show different patterns of grief, potentially exacerbating decline in a relationship. Although it is clear that prenatal loss has a large psychological impact, it is concluded that there is a substantial lack of randomized controlled studies in this field of research.

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    • "A perinatalis veszteség miatti gyász a komplikált gyász egyik jelensége [1], amelynek megélése, az azzal való szembesülés terhet ró a szülőkre, környezetükre és az egészségügyi szakemberekre egyaránt, ugyanakkor kevéssé feldolgozott, tanulmányozott területről beszélünk. Talán az egyik legnehezebben feldolgozható veszteségről van szó [2]. "
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    ABSTRACT: The sorrow caused by perinatal loss is a phenomenon of pathological mourning, a burden for the parents, their environment and the medical personnel, yet, it is a less studied field. (1) To present the applied practice in healthcare institutions, to compare the valid protocol with the effective help provided and to study how these events affect the helping personnel professionally and psychologically. In-depth interviews with the involved personnel (n = 8). The authors studied the practice of the given institution; existing and wanted theoretical and practical competencies; personal attitude and the experienced difficulties. Acting well professionally is a specially demanding task, with few tools to use when communicating, when helping the parents cope with sorrow, or when coping with their own feelings, all these involving a risk for burn-out. The results can serve to create trainings aimed at helping the patients with adequate support and improving coping strategies. Orv. Hetil., 2015, 156(29), 1174-1178.
    Orvosi Hetilap 07/2015; 156(29):1174-8. DOI:10.1556/650.2015.30199
    • "Le processus de deuil semble être similaire au processus de deuil après la perte de toute personne proche [8]. La majorité des auteurs rapportent une disparition du chagrin dans des délais assez variables allant de 3 à 6 mois, voire 1 à 2 ans pour d'autres [8] [9] [11] (NP4). "
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    ABSTRACT: The objective of this study was to evaluate the relationship between psychology and pregnancy loss. A literature review was conducted by consulting Medline until April 2014. Psychological factors appear to be significantly associated with the risk of recurrent miscarriage. Depression and anxiety are common symptoms after miscarriage. A return to normal scores of depression and anxiety is frequently found in one year. A systematic psychological treatment after an episode of miscarriage seems to not bring obvious benefits, one year after a miscarriage, in terms of anxiety and depression. After a stillbirth, psychological impacts on the couple, such as anxiety and depressive symptoms, are common. An empathetic and respectful attitude of all medical and paramedical team at the support is associated with better psychological experience. After a pregnancy loss, psychological consequences are common and usually reversible. An attitude of empathy is desirable in order to accompany patients and to consider a future pregnancy. Copyright © 2014 Elsevier Masson SAS. All rights reserved.
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    • "Parents may experience the world as no longer feeling safe and predictable, and they may realize they are vulnerable in ways they did not previously recognize [4]. Although grief itself is a normal human reaction, some individuals suffer from complicated grieving experiences, and mental health disorders can be comorbid with normal grief [5] [6]. Most parents weather the storm of perinatal loss, but some families struggle to recover from this event [7] [8] [9]. "
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    ABSTRACT: Objective Perinatal loss (stillbirth after 20 weeks gestational age or infant death in the first month) impacts 1–2 infants per hundred live births in the United States and can be a devastating experience for parents. We assessed prevalence of anxiety disorders and obsessive compulsive disorder (OCD) among bereaved and live-birth mothers. Methods We collaborated with the Michigan Department of Public Health to survey Michigan mothers with perinatal death or live birth. We measured symptoms of generalized anxiety disorder, social phobia, panic disorder, and OCD using validated written self-report screens and collected data on maternal demographics, psychiatric history, social support, andintimate partner violence. Results 609/1400 mothers (44%) participated, returning surveys nine months post-delivery. 232 mothers had live birth and 377 had perinatal loss. In unadjusted analyses, bereaved mothers had higher odds of all four disorders. In logistic regression adjusted for covariates, bereaved mothers still had higher odds of moderate-severe generalized anxiety disorder (OR: 2.39, CI: 1.10-5.18, p = 0.028) and social phobia (OR: 2.32, CI: 1.52-3.54, p < 0.0005 but not panic disorder or OCD. Conclusion Bereaved mothers struggle with clinically-significant anxiety disorders in the first year after perinatal loss; improved identification and treatment are essential to improve mental health for this vulnerable population.
    General Hospital Psychiatry 09/2014; 36(6). DOI:10.1016/j.genhosppsych.2014.09.008 · 2.61 Impact Factor
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