This study proposed that maternal bereavement in women who experienced miscarriage and women who terminated for fetal abnormality would differ related to the existence of a grief reaction, and to identify the factors that differentiated the two groups. There were no significant grief differences between the miscarriage group and termination group. The groups were then combined to analyze within group factors. Six fixed variables were found to be related to vulnerability for a grief reaction. Factors included: time since the most recent loss; intervention of counseling; employment outside the home; feeling responsible for the perinatal loss; age of the mother as related to guilt; and gestational length of pregnancy.
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References
1.
AldermanL. (1999). The Miscarriage Experience and Needs Assessment Questionnaire Part 1: Mother's version. Copyrighted, Unpublished.
2.
BenkendorfJ.CorsonV.AllenJ. F., & IlseS. (1990). Perinatal bereavement counselling in genetics. Strategies in Genetic Counselling, March of Dimes Birth Defects Original Article Series, 26(3), 138–156.
3.
BeutelM.DeckardtR.Von RadM., & WeinerH. (1995). Grief and depression after miscarriage: Their separation, antecedents and course. Psychosomatic Medicine, 57, 517–526.
4.
Bliss-HoltzJ. (1991). Developmental tasks of pregnancy and prenatal education. International Journal of Childbirth Education, 6(1), 29–31.
5.
BroenA. N.MoumT.BodtkerA. S., & EkebergO. (2005). Psychological impact on women of miscarriage versus induced abortion: A 2-year follow-up study. Psychosomatic Medicine, 66(2), 265.
6.
CecilR. (1994). “I wouldn't have minded a wee one running about”: Miscarriage and the family. Social Science and Medicine, 38(10), 1415–1422.
7.
HorowitzM. J.SiegalB.HolenA.BonnannoG. A.MilbrathC., & StinsonC. H. (1997). Diagnostic criteria for complicated grief disorder. American Journal of Psychiatry, 154(7), 904–910.
8.
IlseS. (1995). Precious lives, painful choices: Helping parents who have abnormal prenatal test results. The Journal of Prenatal Education, 4(1), 11–18.
9.
LaskerJ. N., & ToedterL. J. (1991). Acute versus chronic grief: The case of pregnancy loss. American Journal of Orthopsychiatry, 61(4), 510–522.
10.
LeeC., & SladeP. (1996). Miscarriage as a traumatic event: A review of the literature and new implications for intervention. Journal of Psychosomatic Research, 40(3), 235–244.
11.
ManderR. (1999). Miscarriage: The loss of a baby. AIMS Journal, 10(4), 1, 3–4.
12.
PotvinL.LaskerJ., & ToedterL. (1989). Measuring grief: A short version of the Perinatal Grief Scale. Journal of Psychopathology and Behavioral Assessment, 11(1), 29–44.
13.
SalvesenK. A.OyenL.SchmidtN.MaltU. F., & Eik-NesS. H. (1997). Comparison of long-term psychological responses of women after pregnancy termination due to fetal anomalies and after perinatal loss. Ultrasound Obstetrical Gynecology, 9, 80–85.
14.
SPSS. (1999). SPSS for Windows. New York: Author.
15.
TheutS. K.PedersenF. A.ZaslowM. J.CainR. L.RabinovichB. A., & MorihisaJ. M. (1989). Perinatal loss and bereavement. The American Journal of Psychiatry, 146(5), 635–639.
16.
TheutS. K.ZaslowM. J.RabinovichB. A.BartkoJ. J., & MorihisaJ. M. (1990). Resolution of parental bereavement after a perinatal loss. Journal of the American Academy of Child & Adolescent Psychiatry, 29(4), 521–525.
17.
ToedterL. J.LaskerJ. N., & JanssenH. J. E. (2001). International comparison of studies using the perinatal grief scale: A decade of research on pregnancy loss. Death Studies, 25, 205–228.
18.
White-Van MourikM.ConnorJ. M., & Ferguson-SmithM. A. (1992). The psychosocial sequelae of a second trimester termination of pregnancy for fetal abnormality over a two year period. Birth Defects: Original Article Series, 28(1), 61–74.
19.
WordenJ. W. (1991). Grief counseling and grief therapy: A handbook for the mental health practitioner. New York: Springer Publishing Company, Inc.
20.
ZojaE. P., & MartinH. (1997). Abortion: Loss and renewal in the search for identity. New York: Routledge Publishing.
