[Stillbirth: the forgotten grief]

Meir Nadav1, Yael Besor, Asher Shiber

  • 1Department of Psychiatry, Soroka University Medical Center and Division of Psychiatry, Center for Health Sciences, Ben-Gurion University of the Negev. nadavm@clalit.org.il

Harefuah
|January 13, 2006
PubMed

Dead-birth or stillbirth is a recognized medical phenomenon. Unfortunately, the psychological aspects of stillbirth received scant and minor attention from researchers and practitioners alike. In contrast with the "mentalistic" perspective on mourning, propagated by Freud and his followers, we present an alternative "socio-semiotic" approach to mourning. This approach may help us to understand the unique difficulty, which is associated with stillbirth mourning. In this paper, we highlight the major difficulties facing the mourning process of parents who experienced stillbirth. Our main argument is that the lost fetus is conceived by the society as a "non-person" and as such does not receive the legitimacy to be mourned. This situation creates strong tension between the personal grief of the parents and their wish to mourn the lost fetus and the lack of legitimate social practices for mourning. This gap might result in a psychopathological response. This article concludes by providing suggestions and guidelines for improving treatment provided for stillbirth parents.

Related Concept Videos

Bonanno's Theory of Grieving01:17

Bonanno's Theory of Grieving

Grieving is a complex psychological and emotional process that varies significantly among individuals. George Bonanno's research on bereavement identified four distinct patterns of grieving, offering a nuanced understanding of how people cope with significant loss, such as the death of a spouse, over extended periods. These patterns — resilience, recovery, chronic dysfunction, and delayed grief — highlight the diversity in emotional responses and adaptive mechanisms.
Resilience
The resilience...
Kubler Ross's Stages of Dying01:21

Kubler Ross's Stages of Dying

Elisabeth Kübler-Ross significantly advanced psychology's understanding of the process of dying with her influential book, On Death and Dying (1969). She focused on studying terminally ill individuals and outlined five stages commonly experienced when coping with death: denial, anger, bargaining, depression, and acceptance.
In denial, individuals reject the reality of their condition, often thinking, "This isn't true; I feel fine," as a way to protect themselves from emotional distress. Anger...
Fetal Circulation01:14

Fetal Circulation

Fetal circulation is a unique system that facilitates the exchange of gases, nutrients, and waste products between the developing fetus and the mother. This intricate process takes place through a special organ called the placenta.
Two umbilical arteries transport blood from the fetus to the placenta. At the placenta, the blood absorbs oxygen and nutrients while simultaneously eliminating waste products. This oxygen-enriched and nutrient-rich blood then returns to the fetus through one...
Repressed Memory01:16

Repressed Memory

Repressed memories are a psychological phenomenon where memories of traumatic events are unconsciously blocked from a person's awareness. This process occurs as a defense mechanism, protecting the mind from the emotional impact of distressing or painful experiences. For example, a person who has experienced childhood trauma may grow up with no conscious recollection of the event. In such cases, the memories are thought to be buried deep within the subconscious, inaccessible to the conscious...
Traumatic Memory01:20

Traumatic Memory

Emotionally traumatic events often lead to memories that are exceptionally vivid and enduring, sometimes persisting with remarkable clarity throughout an individual's life. A classic example of this phenomenon is a person who survives a car accident. Even years later, they may recall every detail of the event with startling accuracy — the screeching of the tires, the jarring impact, and the acrid smell of burning rubber. Such vividness contrasts sharply with how an individual remembers mundane...
Forgetting01:21

Forgetting

Forgetting is an intrinsic aspect of human memory, characterized by the gradual loss or inaccessibility of information over time. Hermann Ebbinghaus, a pioneering psychologist, extensively studied this phenomenon and formulated the forgetting curve. This curve illustrates that memory loss occurs rapidly immediately after learning and then decelerates over time. Several mechanisms contribute to forgetting, including encoding failure, storage decay, retrieval failure, and interference.
Encoding...