Book contents
- Fertility Counseling: Clinical Guide
- Fertility Counseling: Clinical Guide
- Copyright page
- Dedication
- Contents
- Preface
- Contributors
- I Introduction
- II Therapeutic Approaches
- III Third Party Reproduction: Assessment and Preparation
- IV Addressing the Needs of Diverse Populations
- V Special Topics in Fertility Counseling
- Chapter 19 Resilience in Reproductive Loss
- Chapter 20 Reproductive Trauma and PTSD: On the Battlefield of Fertility Counseling
- Chapter 21 Pregnancy Loss Counseling
- Chapter 22 “A Little Bit Pregnant”: Counseling for Recurrent Pregnancy Loss
- Chapter 23 Pregnancy and Postpartum Adjustment in Fertility Counseling
- Chapter 24 Walking the Tightrope: The Pregnant Fertility Counselor
- VI Practice Issues
- The International Glossary on Infertility and Fertility Care, 2017
- Index
- References
Chapter 22 - “A Little Bit Pregnant”: Counseling for Recurrent Pregnancy Loss
from V - Special Topics in Fertility Counseling
Published online by Cambridge University Press: 24 November 2022
Edited by
Book contents
- Fertility Counseling: Clinical Guide
- Fertility Counseling: Clinical Guide
- Copyright page
- Dedication
- Contents
- Preface
- Contributors
- I Introduction
- II Therapeutic Approaches
- III Third Party Reproduction: Assessment and Preparation
- IV Addressing the Needs of Diverse Populations
- V Special Topics in Fertility Counseling
- Chapter 19 Resilience in Reproductive Loss
- Chapter 20 Reproductive Trauma and PTSD: On the Battlefield of Fertility Counseling
- Chapter 21 Pregnancy Loss Counseling
- Chapter 22 “A Little Bit Pregnant”: Counseling for Recurrent Pregnancy Loss
- Chapter 23 Pregnancy and Postpartum Adjustment in Fertility Counseling
- Chapter 24 Walking the Tightrope: The Pregnant Fertility Counselor
- VI Practice Issues
- The International Glossary on Infertility and Fertility Care, 2017
- Index
- References
Summary
In this chapter, common psychological experiences or consequences of recurrent pregnancy loss are discussed for affected women and their partners, with a focus on the experience of pregnancy after or during the course of recurrent loss. In this chapter, recurrent pregnancy loss is understood as a series of ongoing traumatic events and losses. Common experiences during pregnancies after loss, such as emotional cushioning and pregnancy-related anxiety, are conceptualized as understandable reactions to trauma and loss. Consequently, guidelines for helping patients to process trauma and loss and to mitigate associated symptoms of emotional cushioning and pregnancy-related anxiety are discussed, with a focus on the therapeutic relationship as an agent of change in individual and couples counseling.
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- Fertility Counseling: Clinical Guide , pp. 225 - 233Publisher: Cambridge University PressPrint publication year: 2022
References
American Society for Reproductive Medicine. Evaluation and treatment of recurrent pregnancy loss: a committee opinion. Fertil Steril 2012;98(5):1103–1111.Google Scholar
Voss, P, Schick, M, Langer, L, et al. Recurrent pregnancy loss: a shared stressor–couple-orientated psychological research findings. Fertil Steril 2020;114(6):1288–1296.Google Scholar
Lin, SX, Lasker, JN. Patterns of grief reaction after pregnancy loss. Am J Orthopsychiatry 1996;66(2):262–271.Google Scholar
Leon, IG. Pregnancy and loss counseling. In: Covington, SN, Ed. Fertility Counseling: Clinical Guide and Case Studies. Cambridge: Cambridge University Press, 2015, p. 226–238.Google Scholar
Peterson, B. Fertility counseling for couples. In: Covington, SN, Ed. Fertility Counseling: Clinical Guide and Case Studies. Cambridge: Cambridge University Press, 2015, p. 60–73.CrossRefGoogle Scholar
Holley, S. Pasch, L. Counseling lesbian, gay, bisexual and transgender patients. In: Covington, SN, Ed. Fertility Counseling: Clinical Guide and Case Studies. Cambridge: Cambridge University Press, 2015, p. 180–196.CrossRefGoogle Scholar
Cacciatore, J, Raffo, Z. An exploration of lesbian maternal bereavement. Social Work 2011;56(2):169–177.CrossRefGoogle ScholarPubMed
Markin, RD, McCarthy, KS. The process and outcome of psychodynamic psychotherapy for pregnancy after loss: a case study analysis. Psychotherapy 2020;57(2):273–288.CrossRefGoogle Scholar
Diamond, DJ, Diamond, MO. Understanding and treating the psychosocial consequences of pregnancy loss. In Wenzel, A, Ed. Oxford Handbook of Perinatal Psychology. New York, NY: Oxford University Press, 2016, pp. 487–523.Google Scholar
Neria, Y, Litz, BT. Bereavement by traumatic means: the complex synergy of trauma and grief. J Loss Trauma 2004;9(1):73–87.CrossRefGoogle ScholarPubMed
Turton, P, Hughes, P, Evans, CD, Fainman, D. Incidence, correlates and predictors of post-traumatic stress disorder in the pregnancy after stillbirth. Br J Psychiatry 2001;178(6):556–560.Google Scholar
Herman, J. Trauma and recovery: the aftermath of violence from domestic abuse to political terror. New York, NY: HarperCollins, 1992.Google Scholar
Côte-Arsenault, D, Mahlangu, N. Impact of perinatal loss on the subsequent pregnancy self: women’s experiences. J Obstet Gynecol Neonatal Nurs 1999;28(3):274–282.Google Scholar
Markin, RD. “Ghosts” in the womb: a mentalizing approach to understanding and treating prenatal attachment disturbances during pregnancies after loss. Psychotherapy 2018;55(3):275–288.Google Scholar
Bayrampour, H, Ali, E, McNeil, DA, Benzies, K, MacQueen, G, Tough, S. Pregnancy-related anxiety: a concept analysis. Int J Nurs Stud 2016;55:115–130.CrossRefGoogle ScholarPubMed
Côté‐Arsenault, D, Donato, K. Emotional cushioning in pregnancy after perinatal loss. J Reprod Infant Psychol 2011;29(1):81–92.CrossRefGoogle Scholar
Côté-Arsenault, D, Donato, KL, Earl, SS. Watching & worrying: early pregnancy after loss experiences. Am J Maternal Child Nurs 2006;31(6):356–363.Google Scholar
Gaudet, C, Séjourné, N, Camborieux, L, Rogers, R, Chabrol, H. Pregnancy after perinatal loss: association of grief, anxiety and attachment. J Reprod Infant Psychol 2010;28(3):240–251.CrossRefGoogle Scholar
Nakano, Y, Akechi, T, Furukawa, TA, Sugiura-Ogasawara, M. Cognitive behavior therapy for psychological distress in patients with recurrent miscarriage. Psychol Res Behav Manage 2013;6:37–43. http://dx.doi.org/10.2147/PRBM.S44327Google Scholar
Elliott, R, Bohart, AC, Watson, JC, Murphy, D. Therapist empathy and client outcome: an updated meta-analysis. Psychotherapy 2018;55(4):399–410.Google Scholar
Leon, IG. Empathic psychotherapy for pregnancy termination for fetal anomaly. Psychotherapy 2017;54(4):394–399.CrossRefGoogle ScholarPubMed
Markin, R. Clinical Application of Evidence-Based Relationship Principles in Psychotherapy for Pregnancy Loss. Oxford: Oxford University Press, in preparation.Google Scholar
Engelhard, IM, van den Hout, MA, Vlaeyen, JW. The sense of coherence in early pregnancy and crisis support and posttraumatic stress after pregnancy loss: a prospective study. Behav Med 2003;29(2):80–84.Google Scholar
Friedlander, ML, Escudero, V, Welmers-van de Poll, MJ, Heatherington, L. Alliances in couples and family therapy. In: Norcross, J, Lambert, M, Eds. Psychotherapy Relationships That Work: Volume 1: Evidence-Based Therapist Contributions. New York, NY: Oxford University Press, 2019, p. 117–166.CrossRefGoogle Scholar
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