Article1996

Pregnancy following miscarriage: course of grief and some determining factors

Marian C. J. Cuisinier · H. Janssen · C.P.H.M. de Graauw · S. Bakker · Cees A. L. Hoogduin

105 citations0/0 files storedJournal of Psychosomatic Obstetrics & Gynecology

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Grief, Bereavement, and Mental Health Maternal Mental Health During Pregnancy and Postpartum Global Maternal and Child Health

Abstract

This prospective study aimed to investigate the impact of both (the speediness of) a subsequent pregnancy and the birth of a viable child on grief arising from a previous pregnancy loss. Data were collected from a series of written questionnaires. Of the 2140 pregnant women who participated in the study, 227 lost a baby by miscarriage (85%) or perinatal death (15%). In 221 women, the loss concerned a singleton. At each of four post-loss assessments, these women completed the Perinatal Grief Scale. They also indicated whether they had conceived again and, if they had, related how they felt about that. Data were analyzed by means of hierarchical multiple regression. Both conceiving again and the birth of a living child lessened grief. A speedy new pregnancy was only rarely found to be detrimental. It is suggested that parents, at least following miscarriage, no longer be advised to wait a specific time before conceiving again. Preferably their individual situation should be discussed with them in order to help them make their own informed decision concerning the subsequent pregnancy.

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References

2003SCL-90. Handleiding bij een multidimensionele psychopathologie-indicator 1964REACTIONS TO THE THREATENED LOSS OF A CHILD: A VULNERABLE CHILD SYNDROME 1964REACTIONS TO THE THREATENED LOSS OF A CHILD: A VULNERABLE CHILD SYNDROME. PEDIATRIC MANAGEMENT OF THE DYING CHILD, PART III.1988The Perinatal Grief Scale: Development and initial validation.1989Measuring grief: A short version of the perinatal grief scale 1964ON REPLACING A CHILD 1989The Psychiatric Consequences of Spontaneous Abortion 1980Maternal Reactions to Involuntary Fetal/Infant Death

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2003Coping With Grief After Involuntary Pregnancy Loss: Perspectives of African American Women 2000One foot in-one foot out: Weathering the storm of pregnancy after perinatal loss 2001Women's Voices Reflecting Changed Expectations for Pregnancy after Perinatal Loss 2001Psychologic and obstetric predictors of couples' grief during pregnancy after miscarriage or perinatal death

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