Retrospective grief responses of seven women following an unintended pregnancy loss are reported. Spontaneous fetal loss, miscarriage, and lethal genetic anomalies, all of which occurred during the first and second trimester, were included in the selected sample. Findings from a thematic analysis highlight 10 themes: reactions; attachment; trauma; coping and healing; existential meaning making; perceptions about support; loss factors; environmental factors; social support received; and professional support received. Findings represent the accumulated losses and the manner in which women make meaning and accommodate these experiences within their life narratives.
Cote-ArsenaultD. (2001). Women's emotions and concerns during pregnancy following perinatal loss. The American Journal of Maternal Child Nursing, 26 (3), 128–134
5.
Cote-ArsenaultD. (2003). The influence of perinatal loss on anxiety in multigravidas. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 32, 623–629
DokaK. (1997). Disenfranchised grief: An exposition and update. In MorganJ. D. (Ed.), Readings in Thanatology (pp. 275–283). Amityville, NY: Baywood.
8.
DokaK. J. (2002). Disenfranchised grief: New directions, challenges, and strategies for practice.Champaign, IL: Research Press.
9.
FranklV. (1959/2006). Man's search for meaning.Boston, MA: Beacon Press.
10.
HillC. E.KnoxS.ThompsonB. J.WilliamsE. N.HessS. A.LadanyN. (2005). Consensual qualitative research: An update. Journal of Counseling Psychology, 52(2), 196
11.
LaskerJ. N.ToedterL. J. (2000). Predicting outcomes after pregnancy loss: Results from studies using the Perinatal Grief Scale. Illness, Crisis & Loss, 28 (4), 350–372
12.
LeeC.SladeP. (1996). Miscarriage as a traumatic event: A review of the literature and new implications for treatment. Journal of Psychosomatic Research, 40 (3), 235–244
13.
MaddenM. E. (1994). The variety of emotional reactions to miscarriage. Women and Health, 21, 85–103
14.
O'LearyJ. (2004). Grief and its impact on prenatal attachment in the subsequent pregnancy. Archives of Women's Mental Health, 7 (1), 7–18
15.
OltjenbrunsK. A. (2001). Developmental context of childhood grief: Grief and regrief phenomena. In StroebeM.StroebeW.HanssonR.SchutH. (Eds.), Handbook of bereavement research: Coping, consequences, and care (pp. 169–198). Washington, DC: American Psychological Association.
16.
PeppersL.KnappR. (1980). Motherhood and mourning: Perinatal death.New York: Praeger.
17.
RobinsonM.BakerL.NackerudL. (1999). The relationship of attachment theory and perinatal loss. Death Studies, 23, 257–270
18.
ToedterL. J.LaskerJ. N.CampbellD. T. (1990). The comparison group problem in bereavement studies and the retrospective pretest. Evaluation Review, 14(1), 75
19.
WestP. (1995). Ultrasound and its role in maternal-fetal bonding. Journal of Diagnostic Medical Sonography, 11 (5), 262–264
20.
WordenW. (2002). Grief counseling and grief therapy: A handbook for the mental health practitioner (3rd ed.). New York: Springer.
21.
WordenW. (2009). Grief counseling and grief therapy: A handbook for the mental health practitioner (4th ed.). New York: Springer.
