Submitted Successfully!
To reward your contribution, here is a gift for you: A free trial for our video production service.
Thank you for your contribution! You can also upload a video entry or images related to this topic.
Version Summary Created by Modification Content Size Created at Operation
1 handwiki
Dean Liu
 -- 2065 2022-10-25 01:31:20

Video Upload Options

We provide professional Video Production Services to translate complex research into visually appealing presentations. Would you like to try it?
No, upload directly Yes

Confirm

Are you sure to Delete?
Yes No
Cite
If you have any further questions, please contact Encyclopedia Editorial Office.
HandWiki. Miscarriage and Grief. Encyclopedia. Available online: https://encyclopedia.pub/entry/31167 (accessed on 15 November 2024).
HandWiki. Miscarriage and Grief. Encyclopedia. Available at: https://encyclopedia.pub/entry/31167. Accessed November 15, 2024.
HandWiki. "Miscarriage and Grief" Encyclopedia, https://encyclopedia.pub/entry/31167 (accessed November 15, 2024).
HandWiki. (2022, October 25). Miscarriage and Grief. In Encyclopedia. https://encyclopedia.pub/entry/31167
HandWiki. "Miscarriage and Grief." Encyclopedia. Web. 25 October, 2022.
Miscarriage and Grief
Edit
The content is sourced from: https://handwiki.org/wiki/Medicine:Miscarriage_and_grief

Miscarriage and grief are both an event and subsequent process of grieving that develops in response to a miscarriage. Almost all those experiencing a miscarriage experience grief. This event is often considered to be identical to the loss of a child and has been described as traumatic. But the vast majority of those who have suffered both will tell you they are nothing alike. Losing a child is in a category of its own when it comes to grief. "Devastation" is another descriptor of miscarriage. Grief differs from the emotion sadness. Sadness is an emotion along with grief, on the other hand, is a response to the loss of the bond or affection was formed and is a process rather than one single emotional response. Grief is not equivalent to depression. Grief also has physical, cognitive, behavioral, social, cultural, and philosophical dimensions. Bereavement and mourning refer to the ongoing state of loss, and grief is the reaction to that loss. Emotional responses may be bitterness, anxiety, anger, surprise, fear, and disgust and blaming others; these responses may persist for months. Self-esteem can be diminished as another response to miscarriage. Not only does miscarriage tend to be a traumatic event, women describe their treatment afterwards to be worse than the miscarriage itself. A miscarriage can often be "heart-breaking". A miscarriage can affect the women, husband, partner, siblings, grandparents, the whole family system and friends. Almost all those experiencing a miscarriage go through a grieving process. Serious emotional impact is usually experienced immediately after the miscarriage. Some may go through the same loss when an ectopic pregnancy is terminated. In some, the realization of the loss can take weeks. Providing family support to those experiencing the loss can be challenging because some find comfort in talking about the miscarriage while others may find the event painful to discuss. The father of the baby can have the same sense of loss. Expressing feelings of grief and loss can sometimes be harder for men. Some women are able to begin planning their next pregnancy after a few weeks of having the miscarriage. For others, planning another pregnancy can be difficult. Organizations exist that provide information and counselling to help those who have had a miscarriage. Some women have a higher risk of developing prolonged grief and complicated grief than others. A factor that can affect grief for men is finding help in an environment that is traditionally women-focused for maternity care and support.

family support complicated grief family system

1. Psychological Impact

Miscarriage has an emotional effect and can also lead to psychological disorders. One discorder that can develop is primary maternal preoccupation. This is defined as a " ...'special psychiatric condition' in which the pregnant woman identifies with her baby, highlights the crisis a woman faces when the baby with whom she is preoccupied and identified dies..."[1] Grieving manifests itself differently for each woman after miscarriage. It may often go unrecognized.[1] The grief that follows a miscarriage resembles, but is not the same as, the grief experienced after the loss of a family member.[2] Disbelief, depression, anger, and yearning, are described as being a part of the normal grieving process.[3][4][5] These reactions remain from three to nine months after the loss. Forty-one percent of parents experience a normal, expected decline in grief in the first two years while 59% were delayed in the resolution of their grief.[3]

Grieving can create feelings of loneliness.[6] This grieving has been called a type of psychological trauma.[1][7] Other serious consequences can develop including depression, anxiety disorder, post-traumatic stress disorder, and somatoform disorder. These responses all are associated with grieving after a miscarriage.[8] Some women are able to complete the grieving process a few weeks after the miscarriage and start anticipating their next pregnancy. Planning another pregnancy is traumatic for others. The impact of a miscarriage can be "crippling" psychologically.[9] Anger can be directed toward those who have had successful pregnancies and children.[7][10] A woman can grieve the "loss of a future child" and question her own role as a mother.[7] They may blame themselves or their partner for the miscarriage.[6][11][12][13]

Unsuccessful attempts to become pregnant through in vitro fertilization (IVF) can also illicit a similar grief response in women.[12] Those experiencing a late miscarriage may have more significant distress compared to those who have experienced a miscarriage in the first trimester.[8] Even depression can occur.[1]

"Women today...are aught in a unique historical moment: technology encourages them to form emotional attachments to their pregnancies, but society has not developed traditions to cushion the shock when those attachments are shattered."[14]

Descriptions of the miscarriage are expressed in non-clinical terms by those who have experienced the event.

  • Angry[15][16]
  • Cheated[15]
  • Despair[16]
  • Devastating[17]
  • Drowning[18]
  • Envy[16]
  • Guilty[15][16]
  • Lack of acknowledgement[18]
  • Not socially acceptable[18]
  • Numbness[18]
  • Pregnancy loss[18]
  • Shame[16]
  • Shocked[15]
  • Sorrow[16]
  • Stunned[15]

1.1. Trauma

Miscarriage has been found to be a traumatic event and a major loss for women.[19] Pregnancy loss, including induced abortion is a risk factor for mental illness. The impact of miscarriage can be underestimated.[20][21] The trauma can be compounded if the miscarriage was accompanied by visible and relatively large amounts of blood loss.[22] Bipolar disorders are associated with miscarriage. Depression and bipolar disorder becomes evident after a miscarriage in 43% of women. Some women are more likely to experience complicated and prolonged grief than others.[3]

1.2. Mental Health

Women experiencing miscarriage are at risk for grief reactions, anxiety or depression.[11] Obsessiveness regarding the miscarriage can develop.[22] Primary maternal preoccupation is also considered a consequence of miscarriage. This condition can occur if a woman who develops a close bond "with her baby" experiences the loss of the pregnancy.[1]

1.3. Complicated Grief

Different grieving "styles" can exist and vary between individuals. There can be a complete avoidance of dealing with the memories of the miscarriage and there can be an "obsessive" concentration on an event in the miscarriage. This is in contrast with the expected ability to "reminisce about the loss of a loved one".[22] Complicated grief differs from the more common form of grief that occurs after a miscarriage. The grieving process associated with other events such as the loss of a spouse or parent is expected to decline in predictable and steady rate. This not true for those experiencing grief after a miscarriage because only 41% follow the expected decline in grief while most, 59% do not fit this pattern.[3]

1.4. Instrumental grief

Instrumental grief can be active and/or problem-focused. Examples include working on house-related projects, creative tasks, and more. Men experiencing the loss of a baby may go through this type of grieving. [23]

1.5. Stress and Posttraumatic Stress Disorder

Miscarriage is associated with posttraumatic stress disorder.[3][21][24][25] Risks for developing PTSD after miscarriage are: emotional pain, expressions of emotion, and low levels of social support.[24] Even if relatively low levels of stress occur after the miscarriage, symptoms of PTSD including flashbacks, intrusive thoughts, dissociation and hyperarousal can later develop.[22] The effects of stress can complicate miscarriage.[19][26] Miscarriage is a stressful event and because stress is a risk factor for subsequent miscarriage, its presence can become part of cycle that continues.[19] Lower stress levels are associated with more favorable outcomes in future pregnancies while higher stress levels increase the risk.[27]

2. Recovery

Physical recovery from miscarriage can have an effect on emotional disturbances. The body has to recover from the sudden pregnancy loss. In some instances fatigue is present. Insomnia can be a problem.[9][10][28] The miscarriage is very upsetting to the family and can generate very strong emotions. Some women may feel that the miscarriage occurred because they somehow had caused it. Others may blame the father or partner for the miscarriage.[9][29] Coping with a miscarriage can very greatly between women and families.[11][28] Some find it difficult to talk about the miscarriage.[9][28] The narratives of women tend to coincide with quantified and measurable effects.[1] Some women engage in activities that are believed to aid in recovery such as therapy, religion and art.[30] Counseling can be offered but effective interventions to assist in recovery have been difficult to identify due to the reports of efficacy[31] and ineffective counseling. Comparisons are hard to make.[8][9][11] Despite the lack of studies that describe effective interventions for those with grief after a miscarriage, some clinicians still offer counselling and follow-up to help women recover and adapt to the loss.[32]

Recommendations to help recover from the event include:

  • Turning to loved ones and friends for support. Sharing feelings and asking for help when needed.
  • Talking to the partner about the miscarriage.
  • Keeping in mind that men and women cope with loss in different ways.[15][33]
  • Making good choices for health and well-being such as: eating healthy foods, keeping active, and getting enough sleep to help restore energy.
  • Joining a support group. A support group might help with feelings of being alone in the loss.[15][33]
  • Doing something in remembrance of the baby.
  • Seeking help from a grief counselor, especially if the grief doesn't ease with time.[15]

Generally, the impact of experiencing miscarriage is underestimated.[20][21] Other methods used to promote recovery are relaxation techniques, guided imagery, and "thought-stopping". Even Gestalt role-playing has been used. Some women can "emotionally relocate the child", redefine a relationship "with the missing child", and engage in "continuing the bond" to incorporate the loss into their life experiences.[22]

Women who have miscarried report that they were dissatisfied with the care they received from physicians and nurses.[34] One observer highlights the insensitivity of some health care providers when they approach the grieving mother "...by playing down her emotion as somehow an irrational response..."[13][29] Clinicians may not recognize the psychological impact of the miscarriage and can "expect parents to move on with their lives."[13]

Since the experiences of women can vary so widely, sensitive nursing care afterward is appropriate.[35]

3. Children and Concerns about Future Pregnancies

One emotional response to miscarriage is the strong apprehension that can develop anticipating a subsequent pregnancy.[9][11][28] Procreation abilities may also be questioned by the woman.[7][9] Significant distress can develop in the other children in the family when they think a sibling has died. They may regard this as a baby they did not get to meet. They can also experience grief and guilt find it difficult to express these emotions to their parents. The siblings may feel a need to act as if everything is the same and that they are unaffected in an attempt to protect their parents from their own feelings. Children can also need help, understanding and the ability to make sense of the event.[36] Some things that can help children process grief include allowing them to express themselves or ask questions, becoming involved in the memory process, and more. [37]

4. Memorials and Burial

Rituals that recognize the loss can be important in coping.[38] Family and friends often conduct a memorial or burial service.[11][39] Hospitals also can provide support and help memorialize the event. Depending on locale others desire to have a private ceremony.[39] The religious faith of the woman and family impacts the grief process.[40] Conversely, the lack of recognition that the miscarriage has occurred by family and friends can be troubling and add to the trauma of the event.[41]

5. In Culture

Grieving after the loss of a child through miscarriage in other cultures can vary from western culture.[42][43] An individual's culture plays a large role in determining an inappropriate pattern of grief, and it is appropriate to take into account cultural norms before reaching a complicated grief diagnosis.[44] There are cultural differences in emotional levels, how these are expressed and how long they are expressed. External symptoms of grief differ in non-Western cultures, presenting increased somatization.[45] Narratives by Swedish women include their own perception of losing a child. Investigations describe their grief over their miscarriage: "When miscarriage occurs it is not a gore, an embryo, or a fetus they lose, it is their child. They feel that they are the cause of the miscarriage through something they have done, eaten, or thought. They feel abandonment and they grieve for their profound loss; they are actually in bereavement."[46] Native American women have cut their long hair following the death of a family member.[47] The narratives of women tend to coincide with quantified and measurable effects.[1] In women who are induced to have an abortion, an identical grieving process can occur.[41] The emotional responses to a spontaneous abortion (miscarriage) and an elective abortion are sometimes identical.[11] Spanish women experience grief in much the same way in the rest of Western culture.[48] Some women find online forums helpful.[33]

References

  1. Lloyd Jones, Sarah (2015). "The Psychological Miscarriage: An Exploration of Women's Experience of Miscarriage in the Light of Winnicott's 'Primary Maternal Preoccupation', The Process of Grief According to Bowlby and Parkes, and Klein's Theory of Mourning". British Journal of Psychotherapy 31 (4): 433–447. doi:10.1111/bjp.12172. ISSN 0265-9883.  https://dx.doi.org/10.1111%2Fbjp.12172
  2. Brier, Norman (2008-03-17). "Grief Following Miscarriage: A Comprehensive Review of the Literature". Journal of Women's Health 17 (3): 451–464. doi:10.1089/jwh.2007.0505. ISSN 1540-9996. PMID 18345996.  https://dx.doi.org/10.1089%2Fjwh.2007.0505
  3. Kersting, Anette; Wagner, Birgit (June 2012). "Complicated grief after perinatal loss". Dialogues in Clinical Neuroscience 14 (2): 187–194. doi:10.31887/DCNS.2012.14.2/akersting. ISSN 1294-8322. PMID 22754291.  http://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pmcentrez&artid=3384447
  4. Kinsey, Cara Bicking; Baptiste-Roberts, Kesha; Zhu, Junjia; Kjerulff, Kristen H. (2015-02-01). "Effect of Previous Miscarriage on Depressive Symptoms During Subsequent Pregnancy and Postpartum in the First Baby Study" (in en). Maternal and Child Health Journal 19 (2): 391–400. doi:10.1007/s10995-014-1521-0. ISSN 1092-7875. PMID 24894728.  http://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pmcentrez&artid=4256135
  5. Beutel, M.; Deckardt, R.; von Rad, M.; Weiner, H. (November 1995). "Grief and depression after miscarriage: their separation, antecedents, and course". Psychosomatic Medicine 57 (6): 517–526. doi:10.1097/00006842-199511000-00003. ISSN 0033-3174. PMID 8600477.  https://dx.doi.org/10.1097%2F00006842-199511000-00003
  6. "Grief After Miscarriage" (in en-US). WebMD. http://www.webmd.com/baby/grief-after-miscarriage#1. 
  7. Lok, I. H., & Neugebauer, R. (2007). Psychological morbidity following miscarriage. Best Practice & Research Clinical Obstetrics & Gynaecology, 21(2), 229-247.
  8. Scheidt, CE (2007). "Trauerverarbeitung nach Prä- und Perinatalverlust ( Mourning processing after pre-and perinatal loss)". Psychother Psych Med 57 (1): 4–11. doi:10.1055/s-2006-951906. PMID 17357028.  https://dx.doi.org/10.1055%2Fs-2006-951906
  9. Wen-Yi, Marianne et al.. The impact miscarriage on women's psychological well being and interventions: A literature review. Singapore Nursing Journal. 
  10. Choices, NHS (2017-12-07). "Miscarriage - Causes - NHS Choices". http://www.nhs.uk/Conditions/Miscarriage/Pages/Causes.aspx. 
  11. Robinson, GE (January 2014). "Pregnancy loss.". Best Practice & Research. Clinical Obstetrics & Gynaecology 28 (1): 169–78. doi:10.1016/j.bpobgyn.2013.08.012. PMID 24047642.  https://dx.doi.org/10.1016%2Fj.bpobgyn.2013.08.012
  12. Robinson, Gail Erlick (2011). "Dilemmas Related to Pregnancy Loss". The Journal of Nervous and Mental Disease 199 (8): 571–574. doi:10.1097/NMD.0b013e318225f31e. ISSN 0022-3018. PMID 21814082.  https://dx.doi.org/10.1097%2FNMD.0b013e318225f31e
  13. Christiansen, Dorte M. (2017). "Posttraumatic stress disorder in parents following infant death: A systematic review" (in en). Clinical Psychology Review 51: 60–74. doi:10.1016/j.cpr.2016.10.007. PMID 27838460.  https://dx.doi.org/10.1016%2Fj.cpr.2016.10.007
  14. Seftel, p. 62.
  15. "Pregnancy loss" (in en). 2016-12-14. https://www.womenshealth.gov/pregnancy/youre-pregnant-now-what/pregnancy-loss.  This article incorporates text from this source, which is in the public domain.
  16. Seftel, p. 58.
  17. Nelson, S. Katherine; Robbins, Megan L.; Andrews, Sara E.; Sweeny, Kate (2017-03-01). "Disrupted Transition to Parenthood: Gender Moderates the Association Between Miscarriage and Uncertainty About Conception" (in en). Sex Roles 76 (5–6): 380–392. doi:10.1007/s11199-015-0564-z. ISSN 0360-0025.  https://dx.doi.org/10.1007%2Fs11199-015-0564-z
  18. Softel, p. 57.
  19. Jeve, YadavaB; Davies, William (2014-07-01). "Evidence-based management of recurrent miscarriages" (in en). Journal of Human Reproductive Sciences 7 (3): 159–69. doi:10.4103/0974-1208.142475. PMID 25395740.  http://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pmcentrez&artid=4229790
  20. Chritiansen, p. 87.
  21. Bellieni, Carlo V.; Buonocore, Giuseppe (2013-07-01). "Abortion and subsequent mental health: Review of the literature" (in en). Psychiatry and Clinical Neurosciences 67 (5): 301–310. doi:10.1111/pcn.12067. ISSN 1440-1819. PMID 23859662.  https://dx.doi.org/10.1111%2Fpcn.12067
  22. Seftel, p. 60.
  23. Obst, Kate Louise; Due, Clemence; Oxlad, Melissa; Middleton, Philippa (10 January 2020). "Men's grief following pregnancy loss and neonatal loss: a systematic review and emerging theoretical model". BMC Pregnancy and Childbirth 20 (1): 7. doi:10.1186/s12884-019-2677-9. PMID 31918681.  http://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pmcentrez&artid=6953275
  24. Daugirdaitė, Viltė; Akker, Olga van den; Purewal, Satvinder (2015). "Posttraumatic Stress and Posttraumatic Stress Disorder after Termination of Pregnancy and Reproductive Loss: A Systematic Review" (in en). Journal of Pregnancy 2015: 646345. doi:10.1155/2015/646345. ISSN 2090-2727. PMID 25734016.  http://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pmcentrez&artid=4334933
  25. Bowles, Stephen V.; James, Larry C.; Solursh, Diane S.; Yancey, Michael K.; Epperly, Ted D.; Folen, Raymond A.; Masone, Maryann (2000-03-15). "Acute and Post-traumatic Stress Disorder After Spontaneous Abortion" (in en). American Family Physician 61 (6): 1689–1696. ISSN 0002-838X. PMID 10750876. http://www.aafp.org/afp/2000/0315/p1689.html. 
  26. Hunter, Amanda; Tussis, Lorena; MacBeth, Angus (2017-12-01). "The presence of anxiety, depression and stress in women and their partners during pregnancies following perinatal loss: A meta-analysis". Journal of Affective Disorders 223: 153–164. doi:10.1016/j.jad.2017.07.004. ISSN 1573-2517. PMID 28755623. https://www.pure.ed.ac.uk/ws/files/42156012/JADacceptedManuscript.pdf. 
  27. Christiansen, p. 92.
  28. American Academy of Family Physicians (2007-11-01). "Pregnancy Loss: What You Should Know" (in en). American Family Physician 76 (9): 1347–8. PMID 18019879. http://www.aafp.org/afp/2007/1101/p1347.html. 
  29. Hale, B. (2007-01-01). "Culpability and blame after pregnancy loss" (in en). Journal of Medical Ethics 33 (1): 24–27. doi:10.1136/jme.2005.015560. ISSN 0306-6800. PMID 17209106.  http://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pmcentrez&artid=2598085
  30. Seftel, p. 57.
  31. Neugebauer, Richard; Kline, Jennie; Bleiberg, Kathryn; Baxi, Laxmi; Markowitz, John C.; Rosing, Mark; Levin, Bruce; Keith, Jessica (2007). "Preliminary open trial of interpersonal counseling for subsyndromal depression following miscarriage". Depression and Anxiety 24 (3): 219–222. doi:10.1002/da.20150. ISSN 1091-4269. PMID 16988939.  This article incorporates text from this source, which is in the public domain. https://dx.doi.org/10.1002%2Fda.20150
  32. Evans, Rachel (Jun 20–26, 2012). "Emotional care for women who experience miscarriage". Nursing Standard 26 (42): 35–41. doi:10.7748/ns2012.06.26.42.35.c9160. ISSN 0029-6570. PMID 22908762.  https://dx.doi.org/10.7748%2Fns2012.06.26.42.35.c9160
  33. Sawicka, Maja (2017-05-01). "Searching for a Narrative of Loss: Interactional Ordering of Ambiguous Grief" (in en). Symbolic Interaction 40 (2): 229–246. doi:10.1002/symb.270. ISSN 1533-8665.  https://dx.doi.org/10.1002%2Fsymb.270
  34. Robinson, Joanne (March 2014). "Provision of information support to women who have suffered an early miscarriage (review)". British Journal of Midwifery 22 (3): 175–180. doi:10.12968/bjom.2014.22.3.175.  https://dx.doi.org/10.12968%2Fbjom.2014.22.3.175
  35. Radford, Eleanor J; Hughes, Mark (2015-06-01). "Women's experiences of early miscarriage: implications for nursing care". Journal of Clinical Nursing 24 (11–12): 1457–1465. doi:10.1111/jocn.12781. ISSN 1365-2702. PMID 25662397.  https://dx.doi.org/10.1111%2Fjocn.12781
  36. Quagliata, Emanuela (2013). Becoming Parents and Overcoming Obstacles : Understanding the Experience of Miscarriage, Premature Births, Infertility, and Postnatal Depression. City: Karnac Books. pp. 64. ISBN 9781782200185. 
  37. "Dealing With Grief After The Death Of Your Baby". March of Dimes. https://www.marchofdimes.org/complications/dealing-with-grief-after-the-death-of-your-baby.aspx. 
  38. Women's reproductive mental health across the lifespan. Lynn-Barnes, Diana. Cham. 17 June 2014. ISBN 9783319051154. OCLC 880941778.  http://www.worldcat.org/oclc/880941778
  39. Choices, NHS. "Miscarriage - Afterwards - NHS Choices". http://www.nhs.uk/Conditions/Miscarriage/Pages/Complications.aspx. 
  40. Cowchock, F. S.; Ellestad, S. E.; Meador, K. G.; Koenig, H. G.; Hooten, E. G.; Swamy, G. K. (December 2011). "Religiosity is an important part of coping with grief in pregnancy after a traumatic second trimester loss". Journal of Religion and Health 50 (4): 901–910. doi:10.1007/s10943-011-9528-y. ISSN 1573-6571. PMID 21861239.  https://dx.doi.org/10.1007%2Fs10943-011-9528-y
  41. Keefe-Cooperman, Kathleen (2005-06-01). "A Comparison of Grief as Related to Miscarriage and Termination for Fetal Abnormality" (in en). OMEGA - Journal of Death and Dying 50 (4): 281–300. doi:10.2190/QFDW-LGEY-CYLM-N4LW. ISSN 0030-2228.  https://dx.doi.org/10.2190%2FQFDW-LGEY-CYLM-N4LW
  42. Klass, Dennis (2015). "Book Reviews of Narratives of Sorrow and Dignity: Japanese Women, Pregnancy Loss, and Modern Rituals of Grieving". OMEGA - Journal of Death and Dying 70 (4): 454–457. doi:10.1177/0030222815573931. ISSN 0030-2228.  https://dx.doi.org/10.1177%2F0030222815573931
  43. "Hospice Foundation of America - What is Grief?". http://hospicefoundation.org/Grief-(1)/What-to-Expect. 
  44. Shear, MK; Simon, N; Wall, M; Zisook, S; Neimeyer, R; Duan, N; Reynolds, C; Lebowitz, B et al. (February 2011). "Complicated grief and related bereavement issues for DSM-5.". Depression and Anxiety 28 (2): 103–17. doi:10.1002/da.20780. PMID 21284063.  http://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pmcentrez&artid=3075805
  45. Horwitz, A. V., & Wakefield, J. C. (2007). The Loss of Sadness: How Psychiatry Transformed Normal Sorrow Into Depressive Disorder. Oxford University Press.
  46. Adolfsson, Annsofie; Larsson, P. G.; Wijma, Barbro; Berterö, Carina (June 2004). "Guilt and emptiness: women's experiences of miscarriage". Health Care for Women International 25 (6): 543–560. doi:10.1080/07399330490444821. ISSN 0739-9332. PMID 15354621.  https://dx.doi.org/10.1080%2F07399330490444821
  47. Seftel, p. 59.
  48. Ridaura, Isabel; Penelo, Eva; Raich, Rosa M. (February 2017). "Depressive symptomatology and grief in Spanish women who have suffered a perinatal loss". Psicothema 29 (1): 43–48. doi:10.7334/psicothema2016.151. ISSN 1886-144X. PMID 28126057.  https://dx.doi.org/10.7334%2Fpsicothema2016.151
More
©Text is available under the terms and conditions of the Creative Commons-Attribution ShareAlike (CC BY-SA) license; additional terms may apply. By using this site, you agree to the Terms and Conditions and Privacy Policy.
Upload a video for this entry
Information
Subjects: Medicine, General & Internal
Contributor MDPI registered users' name will be linked to their SciProfiles pages. To register with us, please refer to https://encyclopedia.pub/register :
HandWiki
View Times: 940
Entry Collection: HandWiki
Revision: 1 time (View History)
Update Date: 25 Oct 2022
Table of Contents
    1000/1000
    Hot Most Recent
    ScholarVision Creations
    Feedback