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Reproductive Loss and Its Impact on the Next Pregnancy

  • Irving G. LeonEmail author
Chapter
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Part of the Integrating Psychiatry and Primary Care book series (IPPC)

Abstract

Reproductive loss is identified as a unique loss due to the mother’s relationship to the fetus or baby she didn’t get to know. Elements of this loss are discussed as are the differences among the range of reproductive losses. While much of the research and clinical literature focuses on normative or maladaptive grieving, many of the ingredients of resilience–including making meaning, continuing bonds, posttraumatic growth, and having a positive and active engagement in life–are elaborated. Many clinical suggestions are offered, especially the challenges of supporting the mother in the often anxious pregnancy following this loss. An empathic responsiveness to the mother’s distress and concerns is cited as the critical ingredient in whatever interventions are chosen

References

  1. Aloi JA (2009) Nursing the disenfranchised women who have relinquished an infant for adoption. J Psychiatr Ment Health Nurs 16:27–31CrossRefPubMedGoogle Scholar
  2. APA Task Force on Mental Health and Abortion (2008) Report of the APA task force on mental health and abortion. Amer Psychol Assn, WashingtonGoogle Scholar
  3. Asplin N, Wessel H, Marions L et al (2014) Pregnancy termination due to fetal anomaly: women’s reactions, satisfaction and experiences of care. Midwifery 30:620–627CrossRefPubMedGoogle Scholar
  4. Bardos J, Hercz D, Friedenthal J et al (2015) A national survey on public perceptions of miscarriage. Obstet Gynaecol 125(6):1313–1320CrossRefGoogle Scholar
  5. Bonanno GA (2008) Loss, trauma and human resilience: have we underestimated the human capacity to thrive after extremely aversive events? Psychol Trauma Theory Res Pract Policy S(1):101–113CrossRefGoogle Scholar
  6. Brier N (2008) Grief following miscarriage: a comprehensive review of the literature. J Women’s Health 17(3):451–464CrossRefGoogle Scholar
  7. Cote-Arsenault D (2003) Weaving babies lost in pregnancy into the fabric of the family. J Fam Nurs 9(1):23–37CrossRefGoogle Scholar
  8. Cote-Arsenault D, Marshall R (2000) One foot in—one foot out: weathering the storm of pregnancy after perinatal loss. Res Nurs Health 23:473–485CrossRefPubMedGoogle Scholar
  9. Cousineau TM, Domar AD (2007) Psychological impact of infertility. Best Pract Res Clin Obstet Gynaecol 21(2):293–308CrossRefPubMedGoogle Scholar
  10. DeBackere KJ, Hill PD, Kavanaugh KL (2008) The parental experience of pregnancy after perinatal loss. J Gynecol Neonatal Nurs 37:525–537CrossRefGoogle Scholar
  11. Gold KJ (2007) Navigating care after a baby dies: a systematic review of parent experiences with health providers. J Perinatol 27:230–237CrossRefPubMedGoogle Scholar
  12. Gold KJ, Boggs ME, Mugisha E et al (2012) Internet message boards for pregnancy loss: who’s on line and why? Womens Health Issues 22(1):e67–e72CrossRefPubMedGoogle Scholar
  13. Gold KJ, Dalton VK, Schwenk T (2007) Hospital care for women after perinatal death. Obstet Gynecol 109(5):1156–1166CrossRefPubMedGoogle Scholar
  14. Herman JL (1992) Trauma and recovery. BasicBooks, New YorkGoogle Scholar
  15. Hughes P, Turton P, Hopper E et al (2001) Disorganised attachment behaviour among infants born subsequent to stillbirth. J Child Psychol Psychiatry 42(6):791–801CrossRefPubMedGoogle Scholar
  16. Jaffe J, Diamond MO (2011) Reproductive trauma: psychotherapy with infertility and pregnancy loss clients. Amer Psychol Assn, WashingtonCrossRefGoogle Scholar
  17. Janoff-Bulman R (1992) Shattered assumptions: towards a new psychology of trauma. Free Press, New YorkGoogle Scholar
  18. Kersting A, Kroker K, Schlicht S et al (2011) Internet-based treatment after pregnancy loss: concept and case study. J Psychosom Obstet Gynaecol 32(2):72–78CrossRefPubMedGoogle Scholar
  19. Lafarge C, Mitchell K, Fox P (2013) Women’s experiences of coping with pregnancy termination for fetal abnormality. Qual Health Res 23(7):924–936CrossRefPubMedGoogle Scholar
  20. Lang A, Goulet C, Aita M et al (2001) Weathering the storm of perinatal bereavement via hardiness. Death Stud 25:497–512CrossRefPubMedGoogle Scholar
  21. Lang A, Fleiszer AR, Duhamel F et al (2011) Perinatal loss and parental grief: the challenge of ambiguity and disenfranchised grief. Omega 63(2):183–196PubMedGoogle Scholar
  22. Lasker JN, Toedter LJ (1994) Satisfaction with hospital care and interventions after pregnancy loss. Death Stud 18:41–64CrossRefPubMedGoogle Scholar
  23. Lasker JN, Toedter LJ (2000) Predicting outcomes after pregnancy loss: results from studies using the perinatal grief scale. Illn Crisis Loss 8(4):350–372CrossRefGoogle Scholar
  24. Lasker JN, Toedter LJ (2003) The impact of ectopic pregnancy: a 16-year follow-up study. Health Care Women 24:209–220CrossRefGoogle Scholar
  25. Leon IG (1990) When a baby dies: psychotherapy for pregnancy and newborn loss. Yale University Press, New HavenGoogle Scholar
  26. Leon IG (1999) Understanding pregnancy loss: helping families cope. Postgrad Obstet Gynecol 19(20):1–8CrossRefGoogle Scholar
  27. Lichtenthal WG, Currier JM, Neimeyer RA et al (2010) Sense and significance: a mixed methods examination of meaning making after the loss of a child. J Clin Psychol 66(7):791–812PubMedPubMedCentralGoogle Scholar
  28. Limbo R, Kobler K, Levang E (2010) Respectful disposition in early pregnancy loss. Am J Matern Child Nurs 35(5):271–277CrossRefGoogle Scholar
  29. Littman LL, Zarcadoolas C, Jacobs AR (2009) Introducing abortion patients to a culture of support: a pilot study. Arch Womens Ment Health 12:419–431CrossRefPubMedGoogle Scholar
  30. Major B, Gramzow RH (1999) Abortion as stigma: cognitive and emotional implications of concealment. J Pers Soc Psychol 77(4):735–745CrossRefPubMedGoogle Scholar
  31. McDorman M, Gregory ECW (2015) Fetal and perinatal mortality: United States, 2013. Natl Vital Stat Rep 64(8):1–23Google Scholar
  32. Neimeyer RA (2000) Searching for the meaning of meaning: grief therapy and the process of reconstruction. Death Stud 24:541–548CrossRefPubMedGoogle Scholar
  33. Peppers L, Knapp R (1980) Motherhood and mourning: perinatal death. Praeger, New YorkGoogle Scholar
  34. Price SK (2008) Stepping back to gain perspective: pregnancy loss history, depression, and parenting capacity in the early childhood longitudinal study, birth cohort (ECLS-B). Death Stud 32:97–122CrossRefPubMedGoogle Scholar
  35. Rutten BPF, Hammels C, Geschwind N et al (2013) Resilience in mental health: linking psychological and neurobiological perspectives. Acta Psychiatr Scand 128:3–20CrossRefPubMedPubMedCentralGoogle Scholar
  36. Seligman MEP, Steen TA, Park N et al (2005) Positive psychology progress: empirical validation of interventions. Am Psychol 60(5):410–421CrossRefPubMedGoogle Scholar
  37. Stroebe M, Schut H (2010) The dual process model of coping with bereavement: a decade on. Omega 61(4):273–289PubMedGoogle Scholar
  38. Tedeschi RG, Calhoun LG (2008) Beyond the concept of recovery: growth and the experience of loss. Death Stud 32(1):27–39CrossRefPubMedGoogle Scholar
  39. Uren TH, Wastell CA (2002) Attachment and meaning-making in perinatal bereavement. Death Stud 26:279–308CrossRefPubMedGoogle Scholar
  40. Xiaoqin S, Lasker JN (1996) Patterns of grief reaction after pregnancy loss. Am J Orthopsychiatry 66(2):262–271CrossRefGoogle Scholar

Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  1. 1.Department of Obstetrics and GynecologyUniversity of Michigan Health SystemAnn ArborUSA

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