The results indicate that these lesbian co-mothers felt predominantly included and accepted by maternity services. Ambiguous interpersonal experiences, however, evoked doubts in this regard. In addition, organizational heterocentric structural barriers remain. Structural service delivery changes could facilitate co-mothers' feelings of inclusion and highlight the important role practitioners have in contributing to co-mothers' experiences.

This paper outlines the development of childrens' understanding about the concept of death, and describes common grief reactions. Using this framework, the principle elements of talking with children on such a sensitive topic are discussed. A variety of potential clinical interventions at individual, family and group levels are proposed.

Much of the literature about children and death has emphasized the importance of preparation; these consultations arose out of requests from the family practitioners because the parents were seeking specialist advice in helping their children cope with the imminent death of their mother. Two examples are given where a single session explored, with the parents, the children's understanding of what was happening and of death, and the parents were helped to discuss their concerns and dilemmas, and express their wishes and feelings. The framework of systemic consultation was used alongside a psycho-educational model, drawing on, and sharing the findings of relevant research. Guidelines for such work are elicited from the examples.

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