By Rosemary Mander

This new version of a groundbreaking paintings displays very important advancements in the general figuring out of, and research into, loss and dying. supplying a wealth of data for either skilled and green midwives, the ebook covers themes together with: perinatal and neonatal loss miscarriage and termination for foetal abnormality demise of a mom in 3rd international and primary international settings problems encountered in the course of destiny childbearing. Combining an authoritative research-based orientation with a serious but human method of this delicate subject, the ebook aids midwives in delivering powerful care and aid to people who event loss. the writer attracts on correct and mostly research-based literature from a variety of similar disciplines to notify this quarter, that's in simple terms now receiving the eye it has lengthy deserved.

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Extra info for Loss and Bereavement in Childbearing

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18 Loss in ‘successful’ childbearing There is always some discrepancy between the mother’s fantasies and her actual baby; she may have expected her baby to have more hair, or be surprised at how long her baby spends awake, or perhaps she had expected her baby to be a different sex. The mother’s narcissistic investment in her fantasy baby (see Chapter 4) may aggravate the discrepancy between the two babies. Disentangling this discrepancy and accepting the real baby is one of the developmental tasks involved in becoming a mother.

The return home may not be the panacea which mothers and midwives anticipate. The grieving mother found that her friends and family had other preoccupations which limited the support available. If we continue to transfer the grieving mother home quickly, we should at least know the environment to which she is returning and how it compares with the maternity unit. Although they were convinced that the mother would find good support when she returned home, the midwives in my study were uncertain about the same people as visitors in the maternity unit: QUEENY: The patient is in control of who comes to see her.

It is not, however, only mothers who use denial as protection; a midwife informant recounted her experience of known stillbirth: ANNIE: There is a moment at the birth when everyone who is present, the parents and the staff, see that the baby has been born and hope against hope that the baby is going to cry. I know that it’s quite illogical, but you still hope. And it is not until that moment when we all realise that the baby really is dead, then we all finally realise it is so. Unexpected stillbirth The baby may die unexpectedly in labour or during the birth and result in what has been known as a ‘fresh stillbirth’.

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