Postponing Pregnancy after Perinatal Death: Perspectives on Doctor Advice

Davis, Deborah; Stewart, Marguerite; Harmon, Robert J.

doi:10.1097/00004583-198907000-00002

Cited by 50 publications

(44 citation statements)

References 3 publications

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“…However, parents did not want to hear advice about a subsequent pregnancy, regardless of the nature of the advice. This finding is not surprising because prior research demonstrates that the timing of a subsequent pregnancy is a personal decision for parents, and that parents do not consider professional medical advice either unless it is consistent with their desires (Davis, Stewart, & Harmon, 1989). …”

Section: Discussionmentioning

confidence: 86%

Social Support Following Perinatal Loss

Kavanaugh

Trier

Korzec³

2004

J Fam Nurs

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The purpose of this project was to examine parents' descriptions of the ways family and friends supported them after they had experienced a perinatal loss. For this project, a secondary analysis of data from two phenomenological studies on perinatal loss was performed. A combined total of 62 interview transcripts from 22 mothers and 9 fathers were examined. Data analysis included identifying all statements in the interview transcripts that pertained to the ways that family and friends supported parents. The modes of supportive behavior (emotional, advice/feedback, practical, financial, and socializing) in Vaux's theory of social support served as a useful framework for presenting the findings. Parents received emotional support most frequently. Findings from the current study provide data for health care professionals to use to provide guidance to family and friends of bereaved parents.

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Section: Discussionmentioning

confidence: 86%

Social Support Following Perinatal Loss

Kavanaugh

Trier

Korzec³

2004

J Fam Nurs

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“…In fact, in some studies, disordered mourning has been associated with conceiving a child within 5 months of a perinatal loss (Rowe et al, 1978), although other studies have demonstrated no clear association (Davis, Stewart, & Harmon, 1989;Phipps, 1985). Lewis (1979) has argued that pregnancy impedes mourning because mothers may find it difficult to attach to a new baby and detach from the lost baby simultaneously.…”

mentioning

confidence: 99%

“…Mothers also have reported withholding their attachment to the subsequent child during pregnancy and for a period of time after birth for fear of losing the new baby (Leon, 1992). If a mother's mourning is suspended during pregnancy and then resumes after the subsequent child's birth, relationship problems may occur between the mother and the new baby (Davis et al, 1989;Zeanah, 1989).…”

mentioning

confidence: 99%

“…For example, references to the replacement child syndrome and its relationship to the birth of a subsequent child are common in the perinatal loss literature (Davis et al, 1989;Theut et al, 1992;Wilson, Fenton, Stevens, & Soule, 1982;Zeanah, 1989). Replacement children are reported to be overprotected by anxious parents who fear that the new child also will be taken from them unexpectedly (Cain & Cain, 1964;Pozanski, 1972).…”

mentioning

confidence: 99%

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Attachment disturbances in infants born subsequent to perinatal loss: A pilot study

Heller

Zeanah

1999

Infant Ment. Health J.

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Mothers who have lost a baby in the perinatal period may experience relationship disturbances with infants born subsequently. This study involved mothers who had delivered a child within 19 months of losing a baby in the perinatal period. Mothers were assessed 2 months after the loss with a clinical interview. When the child born subsequent to the loss was 12 months old, the mother–child attachment relationship was assessed, and 45% of the infants had disorganized attachments to their mothers. This was significantly higher than the expected rate of 15% disorganized attachments in other middle‐class samples. Based on narrative descriptions of the loss experience, measures of mothers' resolution of loss and experience of support were not related to infant attachment. Mothers who accepted more responsibility for their own grief were more likely to have subsequent infants with secure attachments to them.

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“…Physicians may recommend a three to six month wait before trying to conceive (Cain and Cain 1964;Kowalski 1991). Davis, Stewart, and Harmon (1989) studied physicians' recommendations for attempting to conceive after a perinatal loss and found that most physicians recommended a specific time frame to wait before trying to conceive. However, most parents did not want to be told when to get pregnant again and followed their own ideas about when to conceive again.…”

Section: Psychosocial Aspects Of the Next Pregnancymentioning

confidence: 99%