45 The men in this study were also found to internalize and deny their grief, or attempt to distract themselves rather than speaking about their loss.47 Johnsson and Puddifoot51 had slightly different findings: they evaluated an all-male cohort and showed that grief responses were at a similar level to those of women after miscarriage. In general, these findings support the idea that fathers also experience grief after perinatal loss, but it is assumed that reactions are generally less intense. Coping mechanisms differ from those of women, it is thought that these differences in grieving may often contribute to misunderstanding Inhibitors,research,lifescience,medical and conflicts
in the relationship. It would certainly seem that one of the greatest
challenges in these situations Inhibitors,research,lifescience,medical would be to provide support for a partner whilst trying to cope with grief. In summary, it has been shown that the greatest risk to a relationship is presented by unequal or noncongruent grieving processes between partners.52,53 Clinical implications after perinatal loss Although it is widely recognized that perinatal loss can lead to psychiatric disorders and CG, only a small number of the women who have experienced miscarriage receive routine follow-up psychological support.54 As interventions Inhibitors,research,lifescience,medical typically aim to alleviate depressive symptoms, there seems to be little on offer for the prevention of development of CG.55 If intervention is offered, it generally begins early,
often immediately after the loss when the patient is still under hospital observation. Normally, psychological aftercare will involve programs of counseling, whilst manualized interventions are rare and are seldom based on evaluated Inhibitors,research,lifescience,medical intervention programs. The current literature highlights a number of methodical challenges to this system. Reviews and meta-analyses of general bereavement interventions have shown that although effectiveness Inhibitors,research,lifescience,medical of bereavement interventions is often assumed, empirical evidence yields inconclusive results. It has even been claimed by some reviewers that there is no strong evidence that these interventions are at all effective.56,57 Although bereavement interventions appear to be effective if aimed high-risk groups Non-specific serine/threonine protein kinase or at those whose grieving process has Ceritinib supplier already complicated,57-59 interventions aimed solely at preventing grief seem to have inconsistent support.60 Only a few randomized controlled studies have been carried out for women after prenatal loss, and most of these have been limited by being aimed at outcomes of depression and psychiatric disorder rather than grief itself.61-63 One exception to this was an intervention to prevent grief after perinatal loss specifically aimed at women following a stillbirth. This program began before hospital discharge and continued over a period of 4 to 6 months.