A Randomized Trial of a Bereavement Intervention for Pregnancy Loss

ABSTRACT Objective To examine the effects of a secondary bereavement intervention on grieving in women who experienced a miscarriage (pregnancy loss) at 12–20 weeks gestation. Design Experimental, posttest only, control group design. Setting Obstetric emergency center of a county hospital in a large city. Participants Forty women who experienced complete spontaneous miscarriages in the first or second trimester (8–20 weeks gestation). Methods Participants were randomly assigned to the grief intervention treatment group or usual standard care control group. The Medical Professional Guidelines for Health Care Professionals were used to construct the perinatal grief intervention. The Perinatal Grief Scale (PGS) was completed during a routine follow‐up visit 2 weeks postloss. Results A one‐way multiple ANOVA (MANOVA) was used to examine the difference in grieving between the control and experimental groups. Three dependent variables were used: despair, difficulty coping, and active grieving. Analysis revealed a significant difference on the combined dependent variables, F (3, 36) = 22.40, p F (1, 38) = 42.27, p Conclusion A bereavement intervention administered immediately after the miscarriage promotes women's ability to cope with early pregnancy loss.