![]() ![]() In addition, the parents may feel the loss throughout their lives, mourning for the child they will never know or watch grow up. The magnitude or weight of the loss is a factor (e.g., whether the pregnancy was planned, whether the couple has lost other pregnancies, length of time associated with trying to conceive) in the extent and duration of the grief response. Regard how strongly the couple desired this pregnancy. Assess the magnitude of the loss for both members of the couple. The client looks toward/plans for the future, one day at a time.ฤก.The client identifies and expresses feelings (e.g., sadness, guilt, fear) freely.The client recognizes the impact/effect of the grieving process (e.g., physical problems with eating and sleeping) and inquires for proper help.The client participates in self-care activities of daily living (ADLs) as able.Alteration in eating habits or sleep pattern.Verbal expression of distress, anger, loss, guilt.Overall, high levels of complicated grieving are generally associated with a poorer state of mental health (Kersting & Wagner, 2022). Perinatal losses have also been shown to have a substantial psychological impact on parents and families. As has been found in bereavement involving first-degree relatives, grief symptoms usually decrease in intensity over the first 12 months. Although the parents have not built up a relationship with their infant, grief after pregnancy loss does not differ significantly in intensity from other loss scenarios. Grief is a deeply personal process that nevertheless follows a fairly predictable course. Risk for Dysfunctional Family Processes. ![]() Here are six (6) perinatal loss (miscarriage, stillbirth, neonatal death) nursing care plans and nursing diagnoses: This care plan is directed at the emotional needs of the postpartum client who must cope with the death of a child. They appear stuck, off track, as if they are running in place as life passes them by. Women and their partners undergoing pregnancy loss frequently talk of not getting on with their life goals, plans, and dreams. Perinatal loss is a crisis within a crisis. An ultrasound will confirm the absence of a fetal heartbeat. On assessment, no fetal heartbeat can be heard. If a fetus dies in utero past the point of quickening, the client will be very aware that fetal movements are suddenly absent. If the death occurs before the time of quickening, the client will not be aware the fetus has died because she is not able to feel fetal movements. The most likely causes of fetal death include chromosomal abnormalities, congenital malformations, infections such as hepatitis B, immunologic causes, and complications of maternal disease. They usually struggle with post-traumatic stress disorder (PTSD), anxiety, and depression, especially when not approached or managed properly. Generally, when a pregnancy ends in the death of a fetus or neonate, the loss is both unexpected and devastating for the mothers or the couple. It is recognized as a tough life event, which can oftentimes cause complicated grief (CG) reactions that risk negatively influencing psychological and physical well-being. The loss of an infant through miscarriage, stillbirth, or neonatal death is perceived as a traumatic life experience. ![]()
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