What is Grief?
Grief is the response to a change we did not want. ​Grief is a constellation of thoughts, feelings, and behaviors associated with a death. It involves the internal meaning given to the external event of death. It is a normal and healthy response to the loss of a loved one. Grief involves common phases or stages that each person moves between and through. And, it is as unique to each person as their fingerprint.
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Mourning is the outward expression of grief. The way someone mourns is influenced by various factors, including religion, culture, customs, gender, and personality. Mourning is an individual matter, and the natural way of adjusting to the loss.
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Bereavement is the entire process that a loss or death triggers.
The real grief process often doesn’t begin until months after the death. It is essential to remind yourself that you are not broken or in need of repair. You are grieving. It is the expected, healthy, and normal human response to the loss of your precious baby or loved one. It is the repression of the feelings surrounding the loss, by others and ourselves, that causes problems.
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The death of a loved one can blindside us, and if we lose a child, it is one of the most difficult types of loss to come to grips with and process. It is called out-of-order grief because it defies what we perceive to be the natural order of life. We do not expect children to die before their parents. Added to that, most parents have had little life experience dealing with grief and death.
Below you will find the Four Phases of Bereavement. Being able to reference these phases for any type of loss can reassure you that what you are feeling is normal. At times, you may feel as if you are moving through all of these phases all at once or flowing between them, for these phases are not static. Grief tends to come in waves instead of discrete stages. It has been compared to enduring a fierce storm at sea. At first, the waves are peaked and close together. Eventually, the sea becomes calmer, but occasionally the storm regroups without any warning. For several hours, days, weeks, you may not feel grief; then suddenly you meet someone, or see something (such as a pregnant woman or a reminder of your loved one), or hear something (such as a baby’s cry), and the grief resumes. It feels as if you are taking one step forward and two steps back. And while feeling you would like to join your baby can be very normal, especially for women, if the suicidal thoughts become dominant or you feel you might act on them, please contact your midwife, OB/GYN provider, or a mental health professional immediately.
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The Four Phases of Bereavement
including information on baby loss
1. Shock and Numbness
The characteristics of this phase are most intense during the first two weeks after the loss. You may experience:
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feeling shocked one minute; angry, panicked, or distressed the next
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a shortened attention span
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difficulty comprehending or remembering what others are saying
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difficulty concentrating
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impaired decision making and impeded function
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stunned disbelief—the shock is too much to deal with all at once
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feeling like you are in a dream and this isn't really happening
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may cry uncontrollably
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being manic—laugh, look, or act like you are on top of the world
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sit and stare, feel resistant to stimuli
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time confusion
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denial
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3. Disorganization
The characteristics of this phase are most dominant from the fifth month through the ninth month after the loss. This phase is difficult because it comes when others think you should be “over it.” Exercise, a supportive friend, or a counselor can be helpful at this time. You may experience:
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thinking, “I am going crazy. I am going to feel this way forever.”
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anxiety attacks
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social withdrawal
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sadness, depression
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wishing you were dead because the grief feels unbearable
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unhappiness and conflict with your partner or spouse
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lack of energy, exhaustion
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feeling disorganized and unable to get anything done
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forgetfulness
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difficulty concentrating
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a sense of failure
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guilt, self-blame for the loss of the baby or loved one
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increased illnesses as the stress weakens your immune system
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insomnia
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weight gain or loss
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2. Searching and Yearning
The characteristics of this phase are most prevalent the second week through the fourth month after the loss. During this phase, you may find yourself searching for your baby or loved one because they still seem very much alive. The struggle between the conscious and unconscious mind to accept the reality of the death causes thoughts and feelings that may seem bizarre. You may experience:
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expecting your loved one to walk through the door or thinking that you are hearing your baby cry. Women may still feel pregnant or that the baby is kicking. She may feel angry at her body for the normal postpartum adjustments it makes, even though she no longer has a baby.
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increased sensitivity to stimulus
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restlessness and difficulty concentrating
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emotional outbursts—anger, irritability, often directed at others
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crying uncontrollably or feeling like you might not be able to stop
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sighing
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bitterness, resentment
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searching for the reason “why?” your baby or loved one died
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suicidal thoughts
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feeling guilty, experiencing self-blame, and feeling lowered self-esteem
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time confusion
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your arms aching to hold your baby or hug your loved one, feeling empty
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wanting to avoid pregnant women and babies or reminders of your loss
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palpitations, headaches, lack of strength
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changes in appetite
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difficulty sleeping or wanting to sleep all the time
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journaling or reading about others with similar losses is helpful
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4. Reorganization
The characteristics of this phase may begin in the tenth month (or earlier) and move through the twenty-fourth month, perhaps more... This is the time you begin to adjust to your new normal. Your loss will never be forgotten, but it becomes less painful as you work through your grief. You may experience:
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a sense of release
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being able to laugh and smile again
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renewed energy
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the ability to make decisions more easily
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eating and sleeping habits re-established
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feeling increased self-esteem
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beginning to plan for the future
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a sense of inner strength for having survived the tragic loss of your child or loved one
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wanting to reach out to or help other grieving parents or people
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