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Grief and pregnancy:  understanding and supporting grief and loss across the pregnancy Grief and pregnancy:  understanding and supporting grief and loss across the pregnancy

Grief and pregnancy: understanding and supporting grief and loss across the pregnancy - PowerPoint Presentation

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Uploaded On 2018-10-11

Grief and pregnancy: understanding and supporting grief and loss across the pregnancy - PPT Presentation

Kathy Briglia MSWLCSW Clinical Social Worker Intensive care Nursery Duke university medical center GRIEF Types of Grief Delayed Disenfranchised Ambiguous Inconclusive Complicated Average Response ID: 687790

pregnancy grief care compassion grief pregnancy compassion care birth plan baby emotions amp shock parents nursery history resolution vulnerable

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Slide1

Grief and pregnancy: understanding and supporting grief and loss across the pregnancy continuumKathy Briglia, MSW,LCSWClinical Social WorkerIntensive care NurseryDuke university medical centerSlide2

GRIEFSlide3

Types of Grief:

Delayed

Disenfranchised

Ambiguous

Inconclusive

Complicated

Average Response

ResilientSlide4
Slide5

Common grieving emotions-Numbness & Shock-Denial & Yearning-Guilt/Resenting others -Depression/Disorganization/Despair

-Resolution

**these emotions/stages/steps are NOT linear, they do not go in a particular order**Slide6

resolutionSlide7
Slide8

Difference in griefMen and WomanChildren and griefSlide9
Slide10

Prenatal palliative careSlide11
Slide12
Slide13
Slide14
Slide15

Grief/loss issues experienced in the intensive care nurserySlide16

EMPATHYYou never really understand a person until you consider things from his point of view

Atticus Finch-

To Kill a Mockingbird

COMPASSION

“Compassion asks us to go where it hurts, to enter into the places of pain, to share in brokenness, fear, confusion, and anguish. Compassion challenges us to cry out with those in misery, to mourn with those who are lonely, to weep with those in tears. Compassion requires us to be weak with the weak, vulnerable with the vulnerable, and powerless with the powerless. Compassion means full immersion in the condition of being human.”

defined by Henri

NouwenSlide17

Empathy: The Human Connection to Patient Care - YouTubeSlide18

W Expectations

Reality

versus

.Slide19

Gerber vs. SickAnticipated/Expected

Nursery is ready early in on pregnancy

Established birth plan

Anticipation of a typical delivery

Immediate bonding/breast feeding

Home in 2-3 days

Maternity leave with your baby at home

Critically Ill Infant

Parents are in shock/in crisis

Don’t retain information

Scared to touch their child

Only able to visit for a few minutes

Overwhelmed, scared

At times, Mother is not able to see her baby for some time

Complete opposite of birth plan

Unknown length of hospitalization,

ie

separation from one’s baby

Parents feel completely out of controlSlide20

The Impact of HistoryEveryone has a Story

Unplanned with initial ambivalence about the pregnancy

History of one or more full term births

Planned pregnancy with detailed birth plan

3

rd

round of in vitro fertilization, first successful pregnancy

Being told “you can’t get pregnant”

History of a stillbirth of neonatal deathSlide21
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