Understanding Perinatal Loss and Managing Parental Grief

Thrive • Oct 04, 2021
By Thrive Reno’s Perinatal Mood and Anxiety Disorder (PMAD) Program Manager and Therapist, Lauren Kalogridis, LSW, CSW-Intern  

Pregnancy and infant loss can forever change the lives of the people it affects. Unfortunately, due to the hesitancy to discuss perinatal loss by many loved ones and society at large, many individuals who experience a perinatal loss find themselves grieving in isolation.

In honor of Pregnancy and Infant Loss Awareness Month , Thrive honors the memories of all babies who’ve been lost too soon and offers support to grieving families. We understand that all forms of perinatal loss are devastating regardless of what stage of the pregnancy it occurred. Additionally, all parents may grieve a perinatal loss in their own way, regardless of their gender, identity, or if they carried the child. 

Bereaved parents and their loved ones should keep in mind that grief ebbs and flows and healing is nonlinear. Their lives may never be the same, but over time, and with adequate support, parents will be able to connect to their loss without being consumed by grief.

Below you’ll find an overview of different forms of perinatal loss, common misconceptions, notes on subsequent pregnancies, paths to healing, and additional resources for bereaved parents. If you’re struggling with a perinatal loss, we can connect you with a Thrive perinatal grief specialist; just give us a call.

FORMS OF PREGNANCY AND INFANT LOSS

Pregnancy and infant loss occur during the perinatal period. The losses may result from:

  • Miscarriage: The loss of a pregnancy during the first 24 weeks of pregnancy.
  • Stillbirth: A baby born without any signs of life at or after 24 weeks of pregnancy. 
  • Ectopic pregnancy: When a fertilized egg implants outside of the uterus.
  • Infant death: May result from prematurity, birth defects, or Sudden Unexpected Infant Deaths (SUIDs) such as Sudden Infant Death Syndrome (SIDS).

Perinatal losses can also be more ambiguous and may include losses related to:

  • Infertility and unsuccessful attempts at in vitro fertilization (IVF) and other assisted reproductive technologies
  • Adoption or foster care complications

THREE COMMON MISCONCEPTIONS ABOUT PERINATAL LOSS

While more common than you might think, pregnancy and infant loss is often misunderstood. Shedding light on the ambiguity surrounding the topic allows individuals affected by perinatal loss to honor their experiences and memories of their lost babies. Explore some common misconceptions about perinatal loss below. 

Myth #1: Perinatal loss is rare. 

Unfortunately, perinatal loss is more common than one might be led to believe. In the United States, around ten to 15 percent of pregnancies end in miscarriage, 24,000 babies are stillborn, and 21,000 infants die within their first year. Additionally, BIPOC communities face a higher risk of perinatal loss due to systemic oppression and social determinants of health. While tragic, the prevalence of pregnancy and infant loss means that if you are a bereaved parent, you may find solace in more understanding individuals than you might expect.

Myth #2: Grief about a perinatal loss isn’t valid, especially if the pregnancy was in the early stages. 

Although not everyone who experiences a loss early in their pregnancy will experience grief, many parents do. There is a false distinction between the grief experienced over the loss of an early-term pregnancy and the grief experienced with a loss later in pregnancy or in infancy. However, all losses are tragic despite what stage of the perinatal period that they occurred. The way parents process the loss and intensity of their grief may vary depending on their personal attachment styles, connection to their pregnancy, and the nature of the loss. 

Myth #3: The topic of perinatal loss shouldn’t be addressed in conversation.

Oftentimes, people might hesitate to acknowledge their loved ones’ perinatal loss, fearing they will trigger the grieving parent. Though everyone appreciates a different level of support, many parents want their lost pregnancy or baby to be remembered. Avoiding the topic may increase the grieving parents’ sense of isolation and unintentionally advance the stigma surrounding perinatal loss.

SEVEN TIPS FOR MANAGING GRIEF FOLLOWING A PERINATAL LOSS 

While managing one’s grief following a perinatal loss is often supported by others, the guidance below is intended to provide bereaved individuals and families with some helpful insight into their grief. 

Tip #1: Don’t feel the pressure to “accept” your loss. 

There is an outdated idea that parents who’ve experienced a perinatal loss “get over it” and eventually accept the loss. The idea of letting go is not supportive to many parents who have a great deal of love for a lost pregnancy or baby even after they are gone. Instead of letting go, parents can focus on finding a sense of connection to their loss and loving their baby in their absence. Through this process, parents can work to slowly integrate their grief into their life and worldview. As a result, rather than allowing their grief to consume their lives, parents can walk with it, while also embracing their lives.

Tip #2: Recognize different forms of grieving.

Everyone grieves differently. For example, some individuals grieve intuitively by expressing their emotions outwardly. Others grieve instrumentally by taking action and addressing the many tasks of life that are complicated after a loss. Additionally, people’s grieving timelines vary greatly. By accepting the various ways to grieve as valid and remaining patient with each other, families can stay connected as they heal from their loss. 

Tip #3: Loved ones can carry you through your grief in different ways.

Parents need different kinds of support following the loss of an infant or pregnancy. For bereaved parents, it can be helpful to ask themselves, “What kind of specific support do I hope for from this person?” Some people might be “do-ers”; they might be helpful in running out for groceries, calling to make doctor’s appointments, or watching older children while the parents have time alone. Other people might offer helpful distractions, make you laugh, or listen and offer emotional support. Thinking more specifically about who you can go to for different kinds of support may provide your loved ones more direction and ensure you feel more supported and connected. 

Tip #4: Therapists can help you process your grief.

All parents deserve the opportunity to grieve without isolation. Therapy can be a helpful place to process emotions individually or as a family with your partner and other children. For some parents, their grief will become more integrated as time takes its natural course. Others may experience complicated grief after a loss; grief that remains raw and acute despite the passage of time. Parents may feel stuck in complicated grief, especially if other risk factors are present such as trauma histories, lack of adequate support, or societal stigma that does not recognize perinatal loss as valid. Therapists can support you to process and integrate complicated grief or unresolved trauma, which will support you in finding a reprieve from this kind of suffering. 

Tip #5: Seek out other forms of support and care.

For some, the loss of a pregnancy or infant can become a crisis of faith. If so, it can be helpful to reach out to people in your spiritual community who can be present with these hard questions while you grieve. Additionally, doulas can offer parents postpartum care, even following a pregnancy or infant loss. For parents who may be lactating after a loss, certified lactation consultants can offer support as you explore options about how to handle this physical transition. 

Tip #6: Make space to grieve the specific hopes and dreams.

When someone dies as an older adult, we often spend time with the memories we had with them while they were alive. Parents who’ve lost a pregnancy or baby may not have had a long life of memories with their baby, but they often have had many meaningful hopes and expectations for their life with this child. As a result of these hopes unraveling, they may find it difficult to envision their own futures after a loss. Grieving these dreams is an important part of healing from a perinatal loss and will support parents in reconnecting with their lives and moving forward. 

Tip #7: Find ways to intentionally connect to your grief.

By engaging in structured ways to connect to their loss in daily life, parents can have a healthy outlet for their grief. For example, grief support groups provide parents with time every week to honor the memory of their pregnancy or baby as well as connect with others who might be experiencing similar struggles. 

STRUGGLING DURING SUBSEQUENT PREGNANCIES

The term “rainbow baby” is often used to refer to babies born successfully following a previous perinatal loss. Rainbow babies are symbols of hope and renewal. With the new pregnancy, parents have the opportunity to honor their baby who was lost, while embracing their next season of parenthood.

Unfortunately, after experiencing a perinatal loss, parents face an increased risk for perinatal mental health struggles during subsequent pregnancies, including:

  • Perinatal anxiety: Parents who’ve experienced a pregnancy or infant loss may experience increased anxiety about the possibility of another loss occurring. Anxiety during subsequent pregnancies and postpartum periods is especially prevalent if the previous loss was unresolved.
  • Attachment struggles: After enduring a perinatal loss, some parents may find it difficult to bond with their rainbow baby. A parent may have their walls up to avoid becoming fully attached to their new baby for fear that they may be grief-stricken by another perinatal loss. 

If you’re noticing these signs in your own journey, or the journey of someone you love, therapeutic support might be helpful.

THRIVE’S SUPPORT FOR GRIEVING PARENTS

Thrive provides bereaved parents with a community of healing and support. Find out more about our perinatal grief therapeutic services below. 

Perinatal Loss and Grief Support Group — Thrive Reno

Thrive Reno offers a complimentary community support group for grieving parents . All individuals who are struggling with a perinatal loss are welcome, regardless of the nature of the loss and whether the loss was experienced recently or many years ago. 

Outpatient Perinatal Grief Therapy for Individuals and Couples — Thrive Reno and Thrive Waco

At both Thrive’s Reno and Waco locations, perinatal grief therapists provide counseling to individuals and couples. Parents struggling with a loss can do self-work during individual sessions and reconnect to each other during couples sessions. 

‘It Takes a Village’ Day Program — Thrive Reno

While Thrive Reno’s ‘It Takes a Village’ Day Program for perinatal mental health isn’t intended for parents experiencing a recent perinatal loss, it can help parents throughout any subsequent pregnancies. The program guides parents in bonding with their new baby while also healing any trauma that may be unresolved from a previous perinatal loss.

ADDITIONAL PERINATAL LOSS RESOURCES

Resources in Reno

General Resources

Diversity, Equity, and Inclusion Resources for Perinatal Loss

ABOUT THE AUTHOR

Lauren Kalogridis, LMSW, CSW-intern — Perinatal Program Manager & Therapist

Lauren Kalogridis, LMSW, CSW-Intern, earned her Bachelor of Social Work from New York University, and her Master of Social Work from Smith College School for Social Work. Lauren’s clinical approach is grounded in relational psychodynamic therapy, and incorporates elements from somatic, trauma-informed and cognitive-behavioral modalities. Her clinical experience has ranged from working with teens to older adults on issues including depression, anxiety, psychosis, trauma-related symptoms, relationship challenges, and issues related to identity and oppression. Lauren is passionate about working with teens and young people, as well as LGBTQ+ identified folks. She is also actively practicing as a full-spectrum doula, which has informed and deepened her commitment to working with individuals during the perinatal period. Lauren recognizes all humans have an intrinsic need to feel safe, to connect, and to belong. She believes in collaboratively building a trusting therapeutic relationship, which serves as a foundation for gaining new insight and accessing healing. You can expect her to bring warmth, humor and intention to your work together, as she supports you in envisioning new possibilities for your life and relationships.

By Sage Tippie 23 Apr, 2024
Spring Cleaning Benefits for Mental Health Spring is a time of new beginnings, change, and transitions, including in our homes. With the warmer weather kicking motivation into high gear, Spring can be a prime time to do a deep clean. Not only is a clean space aesthetically pleasing to the eyes, but it can also help to improve your mental health. Learn about how tidying up your space can also tidy up your thoughts below along with tips for cleaning when you’re struggling with your mental health. 4 Reasons Why Cleaning is Beneficial to Mental health 1.Decreased Stress Not only does an uncluttered space provide a sense of calm, but the physical act of cleaning can release feel-good endorphins, reducing feelings of stress and anxiety. As you cross tasks off your checklist, your body also releases Dopamine. Also known as the “happy hormone”, Dopamine provides a sense of accomplishment and pride that can promote motivation in other areas of our lives. 2. Improved Focus Studies have shown that an uncluttered space can also lead to an uncluttered mind. Your focus can be drawn away from important tasks by a chaotic, messy space. Research has also shown a connection between procrastination and clutter, as an unwillingness to tackle larger chores like cleaning can translate over into various areas of our lives. By keeping your space tidy, it can inspire you to stay on top of other major tasks like work and school assignments. 3. Regulated Emotions According to this 2015 study , cleaning can function as a practice in mindfulness, providing an increased sense of calm and inspiration. Slowing down while cleaning gives you room to relax and free your mind of burdens, stressors, and irritants that can affect your mental health. Cleaning can even be considered a practice of self-care as the action helps you to connect with yourself and the outcome allows you to better enjoy your own space. 4. Sense of Order and Control When experiencing mental health struggles, people may feel a lack of control over their lives and emotions. Cleaning even small areas of the home can provide an increased sense of order and control as you cross tasks off your to-do list. Through realizing your own power by simply completing minor tasks like cleaning, it can reaffirm your ability to do more. 10 Tips for Cleaning When Struggling with Mental Health Mental health struggles and disorders commonly create barriers to one’s ability to clean and properly practice personal hygiene. Although these behaviors are normal side effects of mental health disorders, we want to work to aid our clients in cleaning to the best of their ability even in difficult times. Below, Thrive Wellness occupational therapist Meadow Deason shares some helpful tips she gives to clients when they struggle with cleaning due to mental health conditions: 1.Ask For Help Having support to clean can make a huge difference. Do the cleaning with the person helping you and have them hold you accountable. 2. Don't Wait for Motivation Motivation might not come before action, but it can build as you begin to see the results of your efforts. 3. Start Small Start with one area or one task and go from there. For example, concentrate on your bedroom first and then move on to the living room and bathroom. 4. Do Something Daily Even if you do only one small cleaning task a day, doing that one task creates momentum and prevents small tasks from building up and becoming overwhelming. 5. Use Sensory Modulation Change your environment by playing music, adjusting the lighting, or using aromatherapy. This can help to put you in a new headspace for cleaning. 6. Start with "High Impact" Tasks Start with more intensive or all-over cleaning tasks such as picking up clutter or doing the dishes. The visual "noise" of some tasks makes a large impact on the entire space, building motivation to continue cleaning. 7. Make a To-Do List Write a detailed to-do list of tasks and cross them off as you go. Physically marking down what you’ve accomplished can promote increased motivation. 8. Reward Yourself Set up a reward system where you reward yourself with a favorite activity or item when you complete a task as an incentive to clean. 9. Use the Rocket Method Don't think about it, just choose a task, countdown from five or ten and then start. This can help you to avoid potential anxiety and dread that can prevent you from cleaning. 10. Gamify Tasks Make up a game for your tasks or time yourself to promote increased engagement in cleaning. Your ability to complete tasks can be affected by a multitude of different factors and conditions including OCD , anxiety, depression , ADHD , and more. If you are struggling with motivation due to your mental health, help is here at Thrive Wellness.
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