Is pregnancy loss (that) disenfranchised? Evidence from a vignette study

Eur J Psychotraumatol. 2024;15(1):2398354. doi: 10.1080/20008066.2024.2398354. Epub 2024 Oct 2.

Abstract

Background: Perceiving that society disregards grief after pregnancy loss (disenfranchised grief) elevates bereaved parents' psychological burden.Objective: In this research, we aimed to compare the disenfranchisement of pregnancy loss with four other loss types considering the bereaved's gender.Method: We collected data from Turkish participants (N = 1,280) using a 5 (loss type) x 2 (gender) between-subjects design with randomly assigned vignettes. Participants reported their expected grief and behavioural tendencies toward the bereaved. We conducted MANOVA and ANOVA analyses.Results: Results revealed that participants expected higher grief for pregnancy loss than two other disenfranchised grief types (former colleague's death, grandfather's diagnosis with Alzheimer's). Expected grief for pregnancy loss was higher than or similar to the level for the best friend's loss across examinations but lower than the level for the one-year-old child's loss. Behaviour tendencies were alike across vignettes, and their results did not paint a coherent picture. Findings did not differ by the bereaved's gender.Conclusion: Pregnancy loss might be less disenfranchised than bereaved parents perceive it, and parents' perceptions could be targeted in therapeutic interventions.

Keywords: Pregnancy loss; Pérdida del embarazo; disenfranchised grief; duelo marginalizado; parentalidad; parenthood; percepción; perception; vignettes; viñetas clínicas.

Plain language summary

We investigated whether pregnancy loss is more disenfranchised by society than four other loss types considering the bereaved’s gender.We collected data from a large sample in Turkey.Pregnancy loss might be less disenfranchised than argued in the literature.

MeSH terms

  • Abortion, Spontaneous* / psychology
  • Adult
  • Bereavement
  • Female
  • Grief*
  • Humans
  • Male
  • Middle Aged
  • Parents / psychology
  • Pregnancy
  • Turkey