Despite research which highlights parents’ increased anxiety and risk of attachment issues with the pregnancy that follows a perinatal loss, there is often little understanding that bereaved families may need different care in their subsequent pregnancies. This book explores the lived experience of pregnancy and parenting after a perinatal loss. Meeting the Needs of Parents Pregnant and Parenting After Perinatal Loss develops a helpful framework, which integrates continuing bonds and attachment theories, to support prenatal parenting at each stage of pregnancy. Giving insight into how a parent’s world view of a pregnancy may have changed following a loss, readers are provided with tools to assist parents on their journey. The book discusses each stage of a pregnancy, as well as labor and the postpartum period, before examining subjects such as multi-fetal pregnancies, reluctant terminations, use of support groups, and the experiences of fathers and other children in the family. The chapters include up-to-date research findings, vignettes from parents reflecting on their own experiences and recommendations for practice. Written for researchers, students and professionals from a range of health, social welfare and early years education backgrounds, this text outlines what we know about supporting bereaved families encountering the challenges of a subsequent pregnancy.

Despite research which highlights parents’ increased anxiety and risk of attachment issues with the pregnancy that follows a perinatal loss, there is often little understanding that bereaved families may need different care in their subsequent pregnancies. This book explores the lived experience of pregnancy and parenting after a perinatal loss. Meeting the Needs of Parents Pregnant and Parenting After Perinatal Loss develops a helpful framework, which integrates continuing bonds and attachment theories, to support prenatal parenting at each stage of pregnancy. Giving insight into how a parent’s world view of a pregnancy may have changed following a loss, readers are provided with tools to assist parents on their journey. The book discusses each stage of a pregnancy, as well as labor and the postpartum period, before examining subjects such as multi-fetal pregnancies, reluctant terminations, use of support groups, and the experiences of fathers and other children in the family. The chapters include up-to-date research findings, vignettes from parents reflecting on their own experiences and recommendations for practice. Written for researchers, students and professionals from a range of health, social welfare and early years education backgrounds, this text outlines what we know about supporting bereaved families encountering the challenges of a subsequent pregnancy.

Pregnancy after prenatal or infant loss can be a lonely and frightening time, but through stories of both pain and healing, the authors show how to navigate the exciting but choppy waters of a subsequent pregnancy. The loss of a pregnancy or newborn infant changes the meaning of pregnancy, birth, and parenting forever. Increased parental fear and anxiety, and continuing grief for the deceased baby, can impact subsequent pregnancies in unexpected ways. Parents who are unsupported in pregnancy after loss are may be more at risk of experiencing anxiety, depression, Post-Traumatic Stress Disorder, and difficulty in attaching to a new baby. Different Baby Different Story explores the range of emotions, thoughts, and physical experiences of parents who have gone on to subsequent pregnancies. Including stories from mothers, fathers, other children, and extended family members, this poignant and moving work will help readers through their own feelings and give voice to those who may have felt unheard or unsupported in the past. With practical advice on self-advocacy, the book helps expectant parents gain insights as to how others learned to work with health care professionals, mental health professionals, and their own families and friends and coworkers. For expectant mothers, their partners, their families and their friends, this work supports the range of experiences and encourages readers on a path to healing.

This unique book is a first-of-its-kind resource that comprehensively covers each facet and challenge of providing optimal perinatal palliative care. Designed for a wide and multi-disciplinary audience, the subjects covered range from theoretical to the clinical and the practically relevant, and all chapters include case studies that provide real-world scenarios as additional teaching tools for the reader. Perinatal Palliative Care: A Clinical Guide is divided into four sections. Part One provides the foundation, covering an overview of the field, key theories that guide the practice of perinatal palliative care, and includes a discussion of perinatal ethics and parental experiences and needs upon receiving a life-limiting fetal diagnosis. Part Two delves further into practical clinical care, guiding readers through issues of obstetrical management, genetic counseling, neonatal pain management, non-pain symptom management, spiritual care, and perinatal bereavement care. Part Three discusses models of perinatal palliative care, closely examining evidence for different types of PPC programs: from hospital-based programs, to community-based care, and examines issues of interdisciplinary PPC care coordination, birth planning, and team support. Finally, Part Four concludes the book with a close look at special considerations in the field. In this section, racial, ethnic, and cultural perspectives and implications for PPC are discussed, along with lessons in how to provide PPC for a wide-range of clinical and other healthcare workers. The book closes with a look to the future of the field of perinatal palliative care. Thorough and practical, Perinatal Palliative Care: A Clinical Guide is an ideal resource for any healthcare practitioner working with these vulnerable patient populations, from palliative care specialists, to obstetricians, midwifes, neonatologists, hospice providers, nurses, doulas, social workers, chaplains, therapists, ethicists, and child life specialists.

This book is a simple book of love written for you, a mom pregnant again after loss, from other loss moms who have been where you are now. In the pages of this book, we share letters of love from our hearts to yours with the hope that, maybe, in the darkest, loneliest hours of grief and fear, you will find a little bit of comfort in the words offered here. Our deepest desire is for you to know that you are not alone. We are with you. When needed, let us carry your hope for you when it feels impossible to find. Let us wrap you in love and be a light in the darkness as you carry both hope and fear and engage in the most courageous act - to choose for life after you have known death.

Subsequent siblings, who are sometimes referred to as replacement children, are people who were born after the death of a brother or sister. Little has been written about them or from their perspective. This non-fiction, self-help, psychology book breaks new ground by assembling rich and heartfelt life stories from a diverse group of subsequent siblings while also weaving in clinical literature and discussion. It is based upon more than one hundred subsequent sibling interviews, which, to the authors’ knowledge, currently comprises the largest and most diverse sample of this group. Through the subjects’ engaging narratives the reader can understand some of the common obstacles and repercussions of the subsequent sibling role. Additional testimonies from parents and surviving siblings illuminate the multilayered impacts of loss upon a family system. Those who are born after a deceased sibling enter a family that has been forever changed by loss. This book provides a brief overview of the research on subsequent children and the concept of the replacement child. It examines the parental experience of the death of a child, the complexity of pregnancy after loss, and the intrauterine and attachment experiences of children born after loss. The death of a child causes immense parental pain and impacts parenting approaches, perhaps resulting in impaired bonding or overprotectiveness of subsequent children. Some subsequent siblings are expected, consciously or unconsciously, to serve as a replacement for their lost sibling and to fill the void of loss. A variety of replacement dynamics can occur, and in some instances the subsequent child is viewed as an inadequate substitute for a deceased and idealized sibling. This book explores common issues that are faced by subsequent siblings, which include impaired bonding with parents, a sense of pressure to heal their families, survivor guilt, phobias, difficulties with identity formation, and the shouldering of caretaker roles. Their loss and experiences are often unrecognized because they were born after their sibling's death. Like most mourners, many subsequent siblings need to make meaning of their loss. It is often complex for them to grieve for an unmet sibling, or to integrate their sibling's death into their life story. Many subsequent siblings also recognize strengths that they have gained because of their role. This book includes chapters about surviving siblings and children who were born after a sibling with special needs.

Decades of research have demonstrated that the parent-child dyad and the environment of the familyâ€"which includes all primary caregiversâ€"are at the foundation of children's well- being and healthy development. From birth, children are learning and rely on parents and the other caregivers in their lives to protect and care for them. The impact of parents may never be greater than during the earliest years of life, when a child's brain is rapidly developing and when nearly all of her or his experiences are created and shaped by parents and the family environment. Parents help children build and refine their knowledge and skills, charting a trajectory for their health and well-being during childhood and beyond. The experience of parenting also impacts parents themselves. For instance, parenting can enrich and give focus to parents' lives; generate stress or calm; and create any number of emotions, including feelings of happiness, sadness, fulfillment, and anger. Parenting of young children today takes place in the context of significant ongoing developments. These include: a rapidly growing body of science on early childhood, increases in funding for programs and services for families, changing demographics of the U.S. population, and greater diversity of family structure. Additionally, parenting is increasingly being shaped by technology and increased access to information about parenting. Parenting Matters identifies parenting knowledge, attitudes, and practices associated with positive developmental outcomes in children ages 0-8; universal/preventive and targeted strategies used in a variety of settings that have been effective with parents of young children and that support the identified knowledge, attitudes, and practices; and barriers to and facilitators for parents' use of practices that lead to healthy child outcomes as well as their participation in effective programs and services. This report makes recommendations directed at an array of stakeholders, for promoting the wide-scale adoption of effective programs and services for parents and on areas that warrant further research to inform policy and practice. It is meant to serve as a roadmap for the future of parenting policy, research, and practice in the United States.

Midwifery & Women's Health

Designed for nurses and student nurses who work with this group, this book covers interventions for infants and children as clients, as well as the family as a client. Each chapter examines the theoretical and research literature support for the invention and links to appropriate nursing diagnoses and outcomes. A case study is presented to illustrate how each intervention is used in nursing practice. Implications for further research are presented with the goal of advancing nursing science by stimulating further study of nursing interventions.