A Loss of Innocence and a Gain in Vulnerability: Subsequent Pregnancy after a Loss

Abstract

Each year in the United States, there are 650,000 miscarriages, 30,000 stillbirths, and 30,000 newborn deaths. Many of the families who suffer these losses will become pregnant again; however, the crisis of loss and grief responses leave the family feeling more vulnerable to the unexpected during the next pregnancy. For most families, the next pregnancy is fraught with anxiety and fear. Health care professionals need to be aware of these families' responses to loss, concerns, and needs for support during the next pregnancy. Therefore, the purpose of this article is to provide an understanding of the impact of early pregnancy loss, perinatal loss, and subsequent pregnancy loss, based on research findings. Interventions, based on the research findings, that health care professionals might use in offering anticipatory guidance, information, and support during this time are also offered.