Regarding Perinatal Loss, Identify specific nursing interventions to meet the needs of families and mothers experiencing loss.

Most parents who are expecting anticipate the birth of their new baby to be a joyous time and full of hope. However, for some women and their families, their pregnancy can turn into a time of grief resulting in immense loss and despair, which can result in a tremendous grief period in which they mourn the loss of their expected baby (Lowdermilk et al., 2020). Something that was significant to me regarding perinatal loss is that it can happen to any expecting mother at any point in their pregnancy, which is such a scary thing. One of my family members had a healthy baby boy with no complications about two years ago and in November of 2020, decided to try for another. She became pregnant but after about two months, she had miscarriage and lost the baby due to unknown reasons. I remember how hard it was for her to get through it and how sad I was after she told me the news. It was hard for her to want to try again for another baby but now she is expecting her 2nd baby boy in early December and he is healthy as can be. 

Perinatal loss can include: 

· Ectopic pregnancy

· Fetal death

· Miscarriage

· Stillbirth

· Death after birth

· Prematurity

· Congenital anomalies

· Genetic defects

(Lowdermilk et al., 2020).

It is important for nurses who are caring for patients who experience this awful circumstance to recognize the importance of self care when it comes to confronting their own grief and stress so they can better care for the grieving mothers. Perinatal bereavement is defined as a complex emotional response experienced by a woman and her partner beginning immediately after the loss of an expected baby (Lowdermilk et al., 2020). Parental and infant attachment can begin before pregnancy with many hopes and dreams for the future. The nurse should recognize that when a baby dies, all members of a family are affected, but no two family members grieve in the same way. When birth represents death, the role of the nurse is critical in caring for the woman and her family, regardless of the age of the woman or stage of gestation. 


Nursing interventions of a postpartum bereaved mother can include:

· Encourage attachment between the mother and the baby for as long as the mother needs. This can include skin to skin contact, the mother holding the baby, etc 

· Assisting the grieving in communicating with, supporting, and getting support from family

· Create memories for parents to take home, such as photos of the baby, and making hand and feet prints of the baby for the parents

· Help the mother and family acknowledge and express their feelings

· Normalize the grieving process and facilitate a positive coping environment 

· Be concerned about cultural and spiritual needs of parents and ensure they are met

· Identify the families cultural meaning of their baby 

· Provide sensitive care at and after discharge

· Provide post mortem care for the baby