Purpose
Examine parents’ concerns about subsequent pregnancies after experiencing an infant or child death (newborn to 18 years).
Data sources
Thirty‐nine semistructured parent (white, black, Hispanic) interviews 7 and 13 months post infant/child death conducted in English and/or Spanish, audio‐recorded, transcribed, and content analyzed. Mothers’ mean age was 31.8 years, fathers’ was 39 years; 11 parents were white, 16 black, and 12 Hispanic.
Conclusions
Themes common at 7 and 13 months: wanting more children; fear, anxiety, scared; praying to God/God's will; thinking about/keeping the infant's/child's memory and at 7 months importance of becoming pregnant for family members; and at 13 months happy about a new baby. Parents who lost a child in neonatal intensive care unit (NICU) commented more than those who lost a child in pediatric intensive care unit (PICU). Black and Hispanic parents commented more on praying to God and subsequent pregnancies being God's will than white parents.
Implications for practice
Loss of an infant/child is a significant stressor on parents with documented negative physical and mental health outcomes. Assessing parents’ subsequent pregnancy plans, recognizing the legitimacy of their fears about another pregnancy, discussing a plan should they encounter problems, and carefully monitoring the health of all parents who lost an infant/child is an essential practitioner role.