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Special Considerations: Grief and Loss

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Women's Mood Disorders

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Abstract

Perinatal loss encompasses miscarriage, stillbirth, and neonatal death. These loss experiences are often unexpected and may be traumatic for many birthing parents. In addition to grief and bereavement, birthing parents who have experienced perinatal loss may develop clinically significant symptoms of anxiety, depression, and posttraumatic stress. Psychological sequelae, assessment, and treatment are discussed.

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References

  1. Callister LC. Perinatal loss: a family perspective. J Perinat Neonatal Nurs. 2006;20:227–34; quiz 235–6.

    Article  Google Scholar 

  2. Ventura SJ, Curtin SC, Abma JC, Henshaw SK. Estimated pregnancy rates and rates of pregnancy outcomes for the United States, 1990-2008. Natl Vital Stat Rep. 2012;60:1–21.

    PubMed  Google Scholar 

  3. Zhang X, Kramer MS. Temporal trends in stillbirth in the United States, 1992-2004: a population-based cohort study. BJOG. 2014;121:1229–36.

    Article  CAS  Google Scholar 

  4. Gregory ECW, Drake P, Martin JA. Lack of change in perinatal mortality in the United States, 2014-2016. NCHS Data Brief 1–8. 2018.

    Google Scholar 

  5. Markin RD, Zilcha-Mano S. Cultural processes in psychotherapy for perinatal loss: breaking the cultural taboo against perinatal grief. Psychotherapy. 2018;55:20–6.

    Article  Google Scholar 

  6. Lang A, Fleiszer AR, Duhamel F, Sword W, Gilbert KR, Corsini-Munt S. Perinatal loss and parental grief: the challenge of ambiguity and disenfranchised grief. Omega. 2011;63:183–96.

    Article  Google Scholar 

  7. Kersting A, Wagner B. Complicated grief after perinatal loss. Dialogues Clin Neurosci. 2012;14:187–94.

    Article  Google Scholar 

  8. Gold KJ, Boggs ME, Muzik M, Sen A. Anxiety disorders and obsessive compulsive disorder 9 months after perinatal loss. Gen Hosp Psychiatry. 2014;36:650–4.

    Article  Google Scholar 

  9. Gold KJ, Leon I, Boggs ME, Sen A. Depression and posttraumatic stress symptoms after perinatal loss in a population-based sample. J Women’s Health. 2016;25:263–9.

    Article  Google Scholar 

  10. Ayre K, Gordon HG, Dutta R, Hodsoll J, Howard LM. The prevalence and correlates of self-harm in the perinatal period: a systematic review. J Clin Psychiatry. 2019;81:19r12773. https://doi.org/10.4088/JCP.19r12773.

    Article  PubMed  Google Scholar 

  11. Horesh D, Nukrian M, Bialik Y. To lose an unborn child: post-traumatic stress disorder and major depressive disorder following pregnancy loss among Israeli women. Gen Hosp Psychiatry. 2018;53:95–100.

    Article  Google Scholar 

  12. Shi P, Ren H, Li H, Dai Q. Maternal depression and suicide at immediate prenatal and early postpartum periods and psychosocial risk factors. Psychiatry Res. 2018;261:298–306.

    Article  Google Scholar 

  13. Weng S-C, Chang J-C, Yeh M-K, Wang S-M, Lee C-S, Chen Y-H. Do stillbirth, miscarriage, and termination of pregnancy increase risks of attempted and completed suicide within a year? A population-based nested case-control study. BJOG. 2018;125:983–90.

    Article  Google Scholar 

  14. Biaggi A, Conroy S, Pawlby S, Pariante CM. Identifying the women at risk of antenatal anxiety and depression: a systematic review. J Affect Disord. 2016;191:62–77.

    Article  Google Scholar 

  15. Kolte AM, Olsen LR, Mikkelsen EM, Christiansen OB, Nielsen HS. Depression and emotional stress is highly prevalent among women with recurrent pregnancy loss. Hum Reprod. 2015;30:777–82.

    Article  CAS  Google Scholar 

  16. Koopmans L, Wilson T, Cacciatore J, Flenady V. Support for mothers, fathers and families after perinatal death. Cochrane Database Syst Rev. 2013. CD000452.

    Google Scholar 

  17. San Lazaro Campillo I, Meaney S, McNamara K, O’Donoghue K. Psychological and support interventions to reduce levels of stress, anxiety or depression on women’s subsequent pregnancy with a history of miscarriage: an empty systematic review. BMJ Open. 2017;7:e017802.

    Article  Google Scholar 

  18. Murphy FA, Lipp A, Powles DL. Follow-up for improving psychological well being for women after a miscarriage. Cochrane Database Syst Rev. 2012. CD008679.

    Google Scholar 

  19. Johnson JE, Price AB, Kao JC, Fernandes K, Stout R, Gobin RL, Zlotnick C. Interpersonal psychotherapy (IPT) for major depression following perinatal loss: a pilot randomized controlled trial. Arch Womens Ment Health. 2016;19:845–59.

    Article  Google Scholar 

  20. Wenzel A. Cognitive behavioral therapy for pregnancy loss. Psychotherapy. 2017;54:400–5.

    Article  Google Scholar 

  21. Kersting A, Dölemeyer R, Steinig J, Walter F, Kroker K, Baust K, Wagner B. Brief internet-based intervention reduces posttraumatic stress and prolonged grief in parents after the loss of a child during pregnancy: a randomized controlled trial. Psychother Psychosom. 2013;82:372–81.

    Article  Google Scholar 

  22. Hayes SC, Strosahl KD, Wilson KG. Acceptance and commitment therapy : an experiential approach to behavior change. London: Guilford Press; 1999.

    Google Scholar 

  23. Twohig MP, Levin ME. Acceptance and commitment therapy as a treatment for anxiety and depression: a review. Psychiatr Clin North Am. 2017;40:751–70.

    Article  Google Scholar 

  24. Linehan MM. Cognitive-behavioral treatment of borderline personality disorder. Diagn Treat Ment Disords. 1993;558.

    Google Scholar 

  25. McKay M, Fanning P, Zurita Ona P. Mind and emotions: a universal treatment for emotional disorders (New Harbinger Self-Help Workbook). Oakland: New Harbinger Publications; 2011.

    Google Scholar 

  26. Bonacquisti A, Cohen MJ, Schiller CE. Acceptance and commitment therapy for perinatal mood and anxiety disorders: development of an inpatient group intervention. Arch Womens Ment Health. 2017;20:645–54.

    Article  Google Scholar 

  27. Hutti MH. Social and professional support needs of families after perinatal loss. J Obstet Gynecol Neonatal Nurs. 2005;34:630–8.

    Article  Google Scholar 

  28. Umphrey LR, Cacciatore J. Coping with the ultimate deprivation: narrative themes in a parental bereavement support group. Omega. 2011;63:141–60.

    Article  Google Scholar 

  29. Cacciatore J, Rådestad I, Frederik Frøen J. Effects of contact with stillborn babies on maternal anxiety and depression. Birth. 2008;35:313–20.

    Article  Google Scholar 

  30. Stuart S, Robertson M. Interpersonal psychotherapy 2E a clinician’s guide. London: CRC Press; 2012.

    Google Scholar 

  31. Gold KJ, Sen A, Hayward RA. Marriage and cohabitation outcomes after pregnancy loss. Pediatrics. 2010;125:e1202–7.

    Article  Google Scholar 

  32. Shreffler KM, Hill PW, Cacciatore J. Exploring the increased odds of divorce following miscarriage or stillbirth. J Divorce Remarriage. 2012;53:91–107.

    Article  Google Scholar 

  33. Obst KL, Due C, Oxlad M, Middleton P. Men’s grief following pregnancy loss and neonatal loss: a systematic review and emerging theoretical model. BMC Pregnancy Childbirth. 2020;20:11.

    Article  Google Scholar 

  34. Miller EJ, Temple-Smith MJ, Bilardi JE. There was just no-one there to acknowledge that it happened to me as well: a qualitative study of male partner’s experience of miscarriage. PLoS One. 2019;14:e0217395.

    Article  CAS  Google Scholar 

  35. Williams HM, Topping A, Coomarasamy A, Jones LL. Men and miscarriage: a systematic review and thematic synthesis. Qual Health Res. 2020;30:133–45.

    Article  Google Scholar 

  36. Büchi S, Mörgeli H, Schnyder U, Jenewein J, Glaser A, Fauchère J-C, Ulrich Bucher H, Sensky T. Shared or discordant grief in couples 2–6 years after the death of their premature baby: effects on suffering and posttraumatic growth. Psychosomatics. 2009;50:123–30.

    Article  Google Scholar 

  37. Kamm S, Vandenberg B. Grief communication, grief reactions and marital satisfaction in bereaved parents. Death Stud. 2001;25:569–82.

    Article  CAS  Google Scholar 

  38. Lacasse JR, Cacciatore J. Prescribing of psychiatric medication to bereaved parents following perinatal/neonatal death: an observational study. Death Stud. 2014;38:589–96.

    Article  Google Scholar 

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Authors and Affiliations

  1. Department of Psychiatry, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA

    Erin C. Richardson & Crystal Edler Schiller

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  1. Erin C. Richardson
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  2. Crystal Edler Schiller
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Correspondence to Erin C. Richardson .

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Editors and Affiliations

  1. Department of Psychiatry, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA

    Elizabeth Cox

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Richardson, E.C., Schiller, C.E. (2021). Special Considerations: Grief and Loss. In: Cox, E. (eds) Women's Mood Disorders. Springer, Cham. https://doi.org/10.1007/978-3-030-71497-0_9

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  • DOI: https://doi.org/10.1007/978-3-030-71497-0_9

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-71496-3

  • Online ISBN: 978-3-030-71497-0

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