Tasked for Compassion: Initiating Reproductive Grief Care in the Neonatal Intensive Care Unit

Grauerholz, Kathryn R

doi:10.5005/jp-journals-11002-0026

Cited by 2 publications

(1 citation statement)

References 103 publications

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“…Instead, an ontological death occurs; that is, the death of a personal life dream or otherwise some form of an individual's identity (Jaffe & Diamond, 2011). Disenfranchisement also remains a common experience for reproductive trauma sufferers (Grauerholz, 2022; see also Brigance & Brigance, 2022). Regarding miscarriage and stillbirth specifically, Berry et al (2022, p. 25) noted that “perinatal loss is a paradoxical experience in which parents often feel misunderstood or alone.” Thus, even though some forms of reproductive trauma do include the experience of a physical death, some forms of reproductive trauma include the experience of an ontological death.…”

Section: Reproductive Trauma and A Critique Of Criteria Amentioning

confidence: 99%

Mean comparisons of trauma symptoms between a reproductive trauma sample and a normative sample: Toward a trauma-informed practice.

Brigance¹,

Kim²,

Kashubeck‐West³

2023

Psychological Trauma: Theory, Research, Practice, and Policy

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Objective: Traditionally, adverse reproductive experiences have been described as stressful events for the individuals who experience them. However, a growing body of evidence suggests that the term "stress" minimizes this experience, and adverse reproductive experiences should be reconceptualized as reproductive trauma. Currently, there are few ways that clinicians have agreed are valid pathways to measure trauma symptoms within this population. The purpose of this study was to examine comparisons between a sample of individuals who have experienced reproductive trauma to a normative sample utilizing the Posttraumatic Checklist for the DSM-V (PCL-V). Method: This study utilized a descriptive observational design.Participants indicated what form of adverse reproductive events they had experienced (with options including infertility, miscarriage, stillbirth, premature birth, complicated pregnancy, and distress during delivery), and then completed the PCL-V regarding their experience with this event. These data were compared with a PCL-V normative sample using multivariate analysis of variance (MANOVA) models. Results: Significant mean differences between the reproductive trauma groups and the normative group were found for at least one subscale (intrusion, avoidance, arousal, or changes in mood and cognition) for the infertility group, multiple miscarriages, stillbirth, complicated pregnancy, premature birth, and distress during delivery. Premature birth, distress during pregnancy, and stillbirth groups also noted total trauma scores significantly higher than the normative group. Conclusions: Results validate the use of the term reproductive trauma, despite constraints presented by Criteria A of PTSD in the DSM-V. Results also present indications for clinical treatment and diagnosis for psychologists and health professionals working with this population. Clinical Impact StatementResults from this study indicate that professionals working with individuals and couples who have experienced adverse reproductive events should reconceptualize this experience as trauma and should be mindful of how various trauma symptomology intersect with reproductive trauma. Psychological and medical professionals alike should be mindful of presentations of PTSD for individuals who have reproductive trauma. Normalizing this experience with this special population has implications for emotional validation, accurate assessment, as well as specialized treatment aligned with trauma-informed practices in both the medical and psychological communities.

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Section: Reproductive Trauma and A Critique Of Criteria Amentioning

confidence: 99%

Mean comparisons of trauma symptoms between a reproductive trauma sample and a normative sample: Toward a trauma-informed practice.

Brigance¹,

Kim²,

Kashubeck‐West³

2023

Psychological Trauma: Theory, Research, Practice, and Policy

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Care of the Newly Born Needs to Begin Prior to Birth and to Continue then After

Maheshwari¹,

Singh²,

Christensen³

2022

Newborn

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Care of the Newly Born Needs to Begin Prior to Birth and to Continue then AfterRecent scientific progress has brought increasing clarity in our understanding of the etiopathogenesis, diagnosis, and the optimal management of many structural abnormalities and diseases that we see in newborn infants. 1 Many of these abnormalities have a prenatal onset and can now even be monitored in utero for progression and complications. 2,3 In these efforts, advanced imaging and analysis of fetal DNA in fetal/maternal blood has facilitated diagnosis, grading of severity, and, in many conditions, helped define indications for temporizing or definitive treatment prior to birth. [4][5][6][7] Such progress has been possible most notably in genetic, neurological, hepatobiliary, and hematological problems. 6 Initiation of care before such disorders get established and/or the onset of secondary complications can possibly make a difference. 8 In many conditions, there is now encouraging evidence for effectiveness of specific management performed in utero on immediate and medium/long-term outcomes. 9 Early diagnosis is a key determinant of outcomes in most neonatal conditions. 10 The timing of disease onset may be particularly important because of the possibility of interruption in the structural and functional changes that are going on during that period of development. 3 Hence, serial imaging and/or laboratory tests can be used not only for monitoring fetuses/infants with known disease conditions but also for the evaluation of normal or hitherto asymptomatic fetuses/infants who have known familial or genetic risk factors. 3 Knowledge about the severity and extent of various abnormalities/diseases can help prepare for treatment procedures and counseling the families. 11 Most of these procedures are complex and need a multi-disciplinary approach for optimizing the outcomes. 12 The importance of preparing a closely knitted team and establishing a close relationship with the families is important as the possibility of adverse outcomes and even reproductive grief cannot be overlooked. 13 Transparency is a key word in this process. A paternalistic physician attitude is not acceptable; evidence-based, collaborative approaches are more appropriate for families and care-providers handling adverse outcomes. 7 In the Newborn, our aim is to cover problems that a baby might develop in utero, the perinatal period, following birth, and the implications of these abnormalities during the first 1000 days after birth. In this 2 nd issue of our journal, we present a set of articles that represent each of these subsets. The risk of perinatal mortality is a matter of universal concern. Shukla and Carlo 14 have reviewed the predictive accuracy of machine-learning statistical models for intrapartum stillbirth and neonatal mortality. Another article summarizes the information we have on the association between chromosomal abnormalities and neonatal necrotizing enterocolitis (NEC); the authors noted a possible association with abnormalities in chromosomes 1, 6,...

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Tasked for Compassion: Initiating Reproductive Grief Care in the Neonatal Intensive Care Unit

Cited by 2 publications

References 103 publications

Mean comparisons of trauma symptoms between a reproductive trauma sample and a normative sample: Toward a trauma-informed practice.

Mean comparisons of trauma symptoms between a reproductive trauma sample and a normative sample: Toward a trauma-informed practice.

Care of the Newly Born Needs to Begin Prior to Birth and to Continue then After

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