Article

Grief Following Miscarriage: A Comprehensive Review of the Literature

Department of Psychiatry and Pediatrics, Albert Einstein College of Medicine of Yeshiva University, Children's Evaluation and Rehabilitation Center, Bronx, New York 10461, USA.
Journal of Women's Health (Impact Factor: 1.9). 05/2008; 17(3):451-64. DOI: 10.1089/jwh.2007.0505
Source: PubMed

ABSTRACT The literature exploring the relationship between miscarriage and grief is sparse. This paper summarizes the literature on grief subsequent to an early miscarriage to elucidate the nature, incidence, intensity, and duration of grief at this time and to identify potential moderators.
An electronic search of the Medline and Psych Info databases was conducted. Studies were selected for inclusion if they related to early miscarriage, used a standardized measure to assess perinatal grief, and specified the assessment intervals employed. Qualitative studies were included when helpful to develop hypotheses.
Descriptions of grief following miscarriage are highly variable but tend to match descriptions of grief used to characterize other types of significant losses. A sizable percentage of women seem to experience a grief reaction, with the actual incidence of grief unclear. Suggestively, grief, when present, seems to be similar in intensity to grief after other types of major losses and is significantly less intense by about 6 months. Few conclusions can be drawn in regard to potential moderators of grief following a miscarriage.
Although additional research is clearly needed, guidelines for coping with grief following miscarriage can be based on the data available on coping with other significant types of losses. Given the range of potential meanings for this primarily prospective and symbolic loss, practitioners need to encourage patients to articulate the specific nature of their loss and assist in helping them concretize the experience.

0 Followers
 · 
189 Views
  • Source
    • "A small number of respondents perceived medical care as cool and incomplete, they also felt lonely. Although the loss of a baby usually evokes in a woman helplessness, sadness and grief (Nikcevic et al. 1998; Brier 2008). Kelley and Trinidad (2012) presented in their studies the experience of still birth from the perspective of parents and physicians . "
    [Show abstract] [Hide abstract]
    ABSTRACT: The loss of a baby is a traumatic event, irrespective of the duration of pregnancy. In the present study, we attempted to recognize the opinions of women after miscarriage that needed assistance and support from the medical staff during hospitalization. The study was conducted during the period from January to June 2012 and included 303 women who miscarried and used medical care in the Lublin Region (Poland). The method of a diagnostic survey was applied using a questionnaire technique. The majority of the respondents reported that information obtained from physicians after the diagnosis of miscarriage were rather understandable (44.22%) and sufficient (41.91%). According to more than a half of respondents, after miscarriage, midwives demonstrated adequate skills (57.43%) and provided necessary informative support (52.81%). The study showed that during hospital stay the women who had experienced miscarriage evaluated in relatively high terms the physicians and midwives providing them with care. The evaluations of the attitudes of doctors and midwives increased with the women's growing needs during hospitalization. The results of the study allow the presumption that the medical staff providing care of women after miscarriage possess a relatively high level of knowledge and skills in the area of diagnostics and treatment of pregnancy terminated with miscarriage. However, it should be remembered that the constant training of doctors and midwives in the provision of emotional and psychological support is necessary.
    The Tohoku Journal of Experimental Medicine 03/2014; 232(3):155-62. DOI:10.1620/tjem.232.155 · 1.28 Impact Factor
  • Source
    • "Midwifery Geller et al., 2004; Lok and Neugebauer, 2007; Brier, 2008; Mann et al., 2008 "
    [Show abstract] [Hide abstract]
    ABSTRACT: Objective Threatened miscarriage is a common complication of early pregnancy, which increases the risk of miscarriage or pregnancy complications such as premature birth. Currently there is limited evidence to recommend beneficial medical treatments or lifestyle changes, resulting in a ‘watchful waiting' approach. The aim of this study was to describe women's experiences of threatened miscarriage through examining postings to Internet discussion forums. Design A Goggle alert for threatened miscarriage was created with emails containing hyperlinks sent to the first author and collected over a seven month period (April to November 2011). Data was analysed using thematic analysis. Findings One hundred and twenty one discussion threads were collected. The overarching theme that emerged was one of ‘a search for hope and understanding'. Within this there were four sub themes that illustrated this search. ‘A reason for hope: stories and real life experiences' illustrated how women sought hope for a viable pregnancy through others. ‘Becoming the expert,' captures how women gave advice from their own experiences. 'A safe place to share' and ‘connecting to empathic support' illustrates how women used this medium for long distance support. Key conclusion Internet discussion forums were used by women to seek hope and support they were not receiving from their health professionals. Women urged each other to remain hopeful despite a negative medical prognosis. There was an acceptance of a lay expertise within the forums that was valid enough to challenge medical expertise. Implications for practice Health Practitioners may need education that helps them balance their delivery of medical information with hope in order to increase feelings of trust. With women seeing the Internet as a useful form of support, it may be relevant for practitioners to consider recommending relevant Internet sites and discuss this with women.
    Midwifery 01/2013; 30(6). DOI:10.1016/j.midw.2013.12.011 · 1.71 Impact Factor
  • Source
    • "Mourning for the lost role as a mother to the expected child is also part of the experience. The adaption to becoming a mother sometime starts even before conception, and the transition to the unexpected state is painful [15] [16] [17]. The dead baby seem not to be a reality for the mothers as long as it is still part of her body and she is unable to see it or touch it. "
    [Show abstract] [Hide abstract]
    ABSTRACT: Carrying death instead of life is beyond understanding and a huge psychological challenge for a pregnant mother. The aim of this study was to investigate the mothers' experiences of the time from the diagnosis of the death of their unborn baby until induction of labour. In this qualitative study, in-depth interviews were conducted with 21 mothers whose babies had died prior to birth. The interviews were then analysed using content analysis. The overall theme that emerged from the mothers' experiences is understood as "waiting in no-man's-land", describing the feeling of being set aside from normality and put into an area which is unrecognized. Four categories were established: 'involuntary waiting' describes the sense of being left without information about what is to come; 'handling the unimaginable' concerns the confusing state of finding oneself in the worst-case scenario and yet having to deal with the birth; 'broken expectations' is about the loss not only of the baby but also of future family life; and 'courage to face life' describes the determination to go on and face reality. The mother's experiences during the time after the information of their baby's death in utero until the induction of labour can be understood as a sense of being in no-man's-land, waiting without knowing for what or for how long.
    Sexual & reproductive healthcare: official journal of the Swedish Association of Midwives 04/2011; 2(2):51-5. DOI:10.1016/j.srhc.2011.02.002 · 1.25 Impact Factor
Show more

Preview

Download
5 Downloads
Available from