“A Silent Battle”: Using a Feminist Approach to Support Couples after Miscarriage

Hiefner, Angela R.

doi:10.1080/08952833.2020.1793563

Cited by 8 publications

(10 citation statements)

References 44 publications

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“…Therefore, future studies should consider individual differences beyond loss context factors. In addition, further research is needed to explore specific aspects of disclosure (e.g., timing, who they disclosed to, context, willingness to disclose) and how they may impact women's well-being following pregnancy loss, given the continued stigma surrounding vocalizing feelings and distress associated with pregnancy loss (Hiefner, 2020). Despite these limitations, this finding provides additional evidence that the act of disclosing distressing information may contribute in part to women's experience of PTG following pregnancy loss, giving validity in future research endeavor in this area.…”

Section: Self-disclosure and Ptgmentioning

confidence: 99%

The relationship between disclosure, social reactions, rumination and posttraumatic growth following miscarriage.

Freedle¹,

Oliveira²

2022

Traumatology

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Due to the stigmatized nature of miscarriage, women face many barriers to disclosure and adequate social support, which may impact positive, postloss adjustment. The purpose of this study was to explore the relationship among self-disclosure, positive social reactions to disclosure, and cognitive processes (i.e., rumination) on women's experiences of positive psychological change following miscarriage. Women who had experienced miscarriage (n = 227) were recruited via social media and completed an online survey that assessed their disclosure, positive social reactions following disclosure, event-related rumination, and posttraumatic growth (PTG). Loss context factors and demographics were also collected. Hypotheses were tested via hierarchical multiple regression and PROCESS macro. The results indicated that disclosure and positive social reactions predicted PTG and that the relationship between positive social reactions and PTG was mediated by deliberate rumination. The findings suggest that disclosing one's trauma and distress may foster changes in cognitive processing. Also, the response women receive following the disclosure of pregnancy loss was related to their PTG. This study contributes to the literature by providing support for applying posttraumatic growth theory to women who have experienced pregnancy loss.

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Section: Self-disclosure and Ptgmentioning

confidence: 99%

The relationship between disclosure, social reactions, rumination and posttraumatic growth following miscarriage.

Freedle¹,

Oliveira²

2022

Traumatology

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“…A disenfranchised loss is a loss that is “not openly acknowledged, publicly mourned, or socially supported” [( 31 ), p. 4]. A growing body of research points to disenfranchisement as an aspect of miscarriage that impedes parents' abilities to successfully grieve and cope with their loss ( 2 – 4 , 32 ). Though social support is a critical factor in bereavement outcomes ( 33 ), family members, friends, healthcare providers, and even society more generally often fail to understand and validate the meaning and significance of miscarriage loss.…”

Section: A Biopsychosocial Understanding Of Miscarriagementioning

confidence: 99%

“…Though often well-intentioned, many family members and friends make statements that minimize the loss (e.g., “You can always have another,” “At least you know you can get pregnant”), resulting in bereaved parents feeling they do not have permission or space to experience and express their grief ( 2 ). Medical providers across multiple specialties (particularly OB/GYN, primary care, and emergency) regularly care for parents experiencing miscarriage, however, research indicates that bereaved parents are infrequently asked how they are coping after a miscarriage and often experience their providers as dismissive of the loss, which has been shown to increase women's distress ( 1 , 4 ).…”

Section: A Biopsychosocial Understanding Of Miscarriagementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…Miscarriage is a medical event with a complex combination of psychosocial sequelae, however research indicates that healthcare providers and clinical teams often fail to attend to the complex and sensitive nature of miscarriage (1,2). For many parents, miscarriage is a traumatic loss, but not always recognized as such by important sources of support in their social and healthcare networks (1)(2)(3)(4). This paper will review the biopsychosocial elements of miscarriage, discuss barriers to biopsychosocial approaches to miscarriage care, and propose a family-oriented, multidisciplinary approach that can address these barriers and provide parents with holistic, sensitive care after their loss.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

A Multidisciplinary, Family-Oriented Approach to Caring for Parents After Miscarriage: The Integrated Behavioral Health Model of Care

Hiefner

Villareal

2021

Front. Public Health

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Miscarriage is increasingly gaining recognition, both in scientific literature and media outlets, as a loss that has significant and lasting effects on parents, though often disenfranchised and overlooked by both personal support networks and healthcare providers. For both men and women, miscarriage can usher in intense grief, despair, and difficulty coping, and for women in particular, there is evidence of increased prevalence of depression, anxiety, and post-traumatic stress. Additionally, miscarriage can contribute to decreased relationship satisfaction and increased risk of separation, all while stigma and disenfranchisement create a sense of isolation. Despite this increased need for support, research indicates that many parents experience their healthcare providers as dismissive of the significance of the loss and as primarily focusing only on the physical elements of care. Research exploring the barriers to providers engaging in more biopsychosocial-oriented care has identified time constraints, lack of resources, lack of training in addressing loss, and compassion fatigue as key areas for intervention. This paper will review the biopsychosocial elements of miscarriage and discuss a multidisciplinary, family-oriented approach that can be implemented in healthcare settings to ensure a high quality and holistic level of care for individuals, couples, and families experiencing pregnancy loss.

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Barriers to psychological support following early miscarriage. Perspectives of the UK-based IAPT perinatal champion

Carthew,

Gannon

2024

Journal of Reproductive and Infant Psychology

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“A Silent Battle”: Using a Feminist Approach to Support Couples after Miscarriage

Cited by 8 publications

References 44 publications

The relationship between disclosure, social reactions, rumination and posttraumatic growth following miscarriage.

The relationship between disclosure, social reactions, rumination and posttraumatic growth following miscarriage.

A Multidisciplinary, Family-Oriented Approach to Caring for Parents After Miscarriage: The Integrated Behavioral Health Model of Care

Barriers to psychological support following early miscarriage. Perspectives of the UK-based IAPT perinatal champion

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