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Dealing with grief after the death of your baby

Grief is all the feelings you have when someone close to you dies.

You may have a lot of feelings as you grieve. You may feel angry, sad and confused. You and your partner may show your feelings differently.

You and your family can get help as you grieve from your provider, a social worker, a grief counselor or a support group.

Take care of yourself to help you heal. Your body and your emotions need time to recover after pregnancy.

Find special ways for you and your family to remember your baby.

What is grief?

Grief is all the feelings you have when someone close to you dies. You may find it hard to believe that your baby died. You may want to shout or scream or cry. You may want to blame someone. Or you may want to hide under the covers and never come out. At times, your feelings may seem more than you can handle. You may feel sad, depressed, angry or guilty. You may get sick easily with colds and stomach aches and have trouble concentrating. All of these are part of grief.

When your baby dies from miscarriage, stillbirth or at or after birth, your hope of being a parent dies, too. Miscarriage is when a baby dies in the womb before 20 weeks of pregnancy; stillbirth is when a baby dies in the womb after 20 weeks of pregnancy. The dreams you had of holding your baby and watching him grow are gone. So much of what you wanted and planned for are lost. This can leave a large, empty space inside you. It may take a long time to heal this space.

The death of a baby is one of the most painful things that can happen to a family. You may never really get over your baby’s death. But you can move through your grief to healing. As time passes, your pain eases. You can make a place in your heart and mind for the memories of your baby. You may grieve for your baby for a long time, maybe even your whole life. There’s no right amount of time to grieve. It takes as long as it takes for you. Over time, you can find peace and become ready to think about the future.

How do men and women grieve?

Everyone grieves in his own way. Men and women often show grief in different ways. Even if you and your partner agree on lots of things, you may feel and show your grief differently.

Different ways of dealing with grief may cause problems for you and your partner. For example, you may think your partner isn’t as upset about your baby’s death as you are. You may think he doesn’t care as much. This may make you angry. At the same time, your partner may feel that you’re too emotional. He may not want to hear about your feelings so often, and he may think you’ll never get over your grief. He also may feel left out of all the support you’re getting. Everyone may ask him how you’re doing but forget to ask how he’s doing.

You have a special bond with your baby during pregnancy. Your baby is very real to you. You may feel a strong attachment to your baby. Your partner may not feel as close to your baby during pregnancy. He doesn’t carry the baby in his body, so the baby may seem less real to him. He may become more attached to the baby later in pregnancy when he feels the baby kick or sees the baby on an ultrasound. Your partner may be more attached to your baby if she dies after birth.

In general, here’s how you may show your grief:

• You may want to talk about the death of your baby often and with many people.
• You may show your feelings more often. You may cry or get angry a lot.
• You may be more likely to ask your partner, family or friends for help. Or you may go to your place of worship or to a support group.

In general, here’s how your partner may show his grief:

• He may grieve by himself. He may not want to talk about his loss. He may spend more time at work or do things away from home to keep his mind off the loss.
• He may feel like he’s supposed to be strong and tough and protect his family. He may not know how to show his feelings. He may think that talking about his feelings makes him seem weak.
• He may try to work through his grief on his own rather than ask for help.

Showing grief doesn’t have any rules or instructions. Men and women often may show grief in these ways. But there’s really no right or wrong way for you or your partner to grieve or share your feelings. It’s OK to show your pain and grief in different ways. Be patient and caring with each other. Try to talk about your thoughts and feelings and how you want to remember your baby.

How do children grieve?

Children of all ages grieve. If you have older children, they may be afraid, act out or need special attention after your baby’s death. They may think they’re going to die, too, or that they’re to blame for the death of their brother or sister. Children can cope better with grief when you explain things and so they know what’s happening.

Here are some ways you can help them better understand the baby's death:

• Use simple, honest words when you talk to them about the baby’s death. You can say things like, “The baby didn’t grow,” or “The baby was born very tiny.” Don’t say things that may confuse them like, “The baby is sleeping,” or “Mommy lost the baby.”
• Read them stories that talk about death and loss. A funeral home, library or school may have children’s books to help them understand death.
• Encourage them to tell you how they feel about the baby’s death. Let them ask questions about what happened to the baby and how you’re doing.
• Ask them to help you find ways to remember the baby. Ask them to draw a picture or make something that you can keep.
• Tell them they’re not going to die and that no one is to blame for the baby’s death.

Just like you, children may feel hurt, confused and angry as they grieve. Younger children may be clingy or cranky and act in ways that they haven’t for a long time. Older children may be extra worried about things outside of home, like school, friends or sports. Or they may show no reaction at all to the baby’s death or ask questions that you think are rude or uncaring. If your children act out, be patient and loving.

It may be helpful for your older children to see a grief counselor. This is a person who’s trained to help people deal with grief. A grief counselor who works with children can recommend resources, like bereavement groups just for kids. A bereavement group is a group of people who meet together to heal from grief. To find a grief counselor for your children or to help you with your children, ask your provider, your child’s provider or a social worker at the hospital.

Who can help you and your family deal with grief?

Talking about your baby and your feelings can be helpful and comforting. Of course you can talk to your partner, your friends and your family. But talking to someone who’s trained to help you deal with grief may be useful. For example:

• Your provider. Your provider may be able to help you understand what happened to cause your baby’s death. She also can help you find people to help you through your grief, like a social worker or grief counselor. And if you’re ready, she can help you get ready to get pregnant again. If you feel intense sadness for a long time, your provider can help you get treatment for depression. 
• A social worker. This is a mental health professional who helps people solve problems and make their lives better. A social worker can help you deal with your grief, and she can also help with things like medical, insurance and funeral bills. Your hospital may have a social worker on staff.
• A grief counselor. This is someone who’s trained to help people deal with grief.
• Your religious or spiritual leader. Your religious and spiritual beliefs may be a comfort to you as you grieve.

You may want to join a support or bereavement group. A support group is a group of people who have the same kind of concerns. They meet to share their feelings and try to help each other. There are support and bereavement groups just for parents and families who have lost a baby. Group members understand what you're going through and can help you feel like you’re not alone. Your provider, social worker or grief counselor can help you find a group, or your hospital may have a group as part of a loss and grief program for families. You can find groups online, too, like Share Your Story, the March of Dimes online community where families who have lost a baby can talk to and comfort each other. We also offer the free booklet From hurt to healing which has information and resources for grieving parents.

How can you take care of yourself as you grieve?

Your body needs time to recover after pregnancy. You may need more time depending on how far along you are when your pregnancy ends. Here’s what you can do to take care of yourself: 

• Eat healthy food, like fruits and vegetables, whole-grain breads and pastas, and low-fat chicken and meats. Stay away from junk food and too many sweets.
• Do something active every day.
• Try to stick to a sleep schedule. Get up and go to bed at your usual times.
• Don’t drink alcohol (beer, wine, wine coolers and liquor) and drinks with caffeine in them, like coffee, sports drinks, tea and soda. Chocolate and some medicines also contain caffeine. Alcohol and caffeine can make you feel bad and make it hard for you to sleep. Instead, drink water or juice.
• Don’t smoke and stay away from secondhand and thirdhand smoke. Secondhand smoke is smoke you breathe in from someone else’s cigarette, cigar or pipe. Thirdhand smoke is what you smell on things that been in or around smoke.
• Talk to your provider if you have bleeding from your vagina or if your breasts have milk
• Tell your provider if you have intense feelings of sadness that last more than 2 weeks that prevent you from leading your normal life. If so, you may need treatment for depression. Treatment can help you feel better. If you’re thinking about suicide or death, call 911.

You need time to recover emotionally, too. Certain things, like hearing names you were thinking of for your baby or seeing the baby’s nursery at home, may be painful reminders of your loss. Your body’s physical recovery also may remind you of your baby, like if your breast milk comes in after a stillbirth. A counselor, social worker or support group can help you learn how to deal with these situations and the feelings they create.

How can you handle family and friends while you're grieving?

Your baby’s death affects your friends and family, too. It may be hard dealing with others as you're grieving yourself. Here are some things you can do to help you handle others as you grieve. Do only what feels right for you:

• Tell them that their calls and visits are important to you.
• Decide if it’s OK for them to ask questions about what happened to your baby. If not, tell them you’re not ready to talk about it.
• Tell them it’s OK if they don’t know exactly what to say. Tell them that hearing honest words like, "I just don’t know what to say," or "I want to help but I don't know how," can be comforting. People may say things that aren’t helpful to you like, "It’s for the best," or "You can always have another baby." Try to remember that they’re doing their best to support you, even if what they say is hurtful.
• Tell them exactly what you need. Do you just want them to spend time with you at home? Do you need someone to bring you a meal, shop for groceries, take your older children out or do your laundry? Tell them specific things they can do for you.  
• If you want them to, ask them to use your baby’s name and to remember your baby. Tell them that even if you have other children, you won’t forget the baby who died.
• Thank them for their patience and support.

Some people may expect you to limit your grief or get over it in a certain amount of time. Take as long as you need to cope with your loss. Support from others may lessen over time. This doesn’t mean that they've forgotten about your baby or that they don't care. You may need to tell them that you’re still grieving and that you still need their support.

What if you lose a multiple?

Any parent who loses a baby feels grief. But losing one, two or a whole set of multiples can create its own set of feelings. Multiples means being pregnant with more than one baby, like twins, triplets or more. If you lost a multiple, you may feel:

• Sad about not having time to grieve for your baby who died. If you lose a baby and have one who lives, it may be hard to find time to grieve while you’re caring for your living baby.
• Scared. If your living baby is sick, you may be scared that he will die, too. You may not want to hold him, get close to him or care too much for him. It may be hard for you to go to the newborn intensive care unit (also called NICU) to care for your living baby if your other baby died there. The NICU is a nursery in a hospital where sick newborns get medical care.
• Confused. Even if only one baby lives, you’re still the parent of multiples. But others may not see you this way. Your family and friends may not want to talk about the baby who died. They may think remembering the baby you lost will make you sad.
• Happy and sad about bringing your baby home. You may feel happy about the baby you bring home from the hospital and sad about the baby you lost.
• Worried. The most common complication of being pregnant with multiples is premature birth (before 37 weeks of pregnancy). Premature birth can cause health problems for babies. If your baby was born prematurely, you may be worried about her health.
• Always reminded of the baby you lost. You may wonder what it would have been like if your baby had lived. It may be hard for you to celebrate birthdays and holidays if you’re thinking about the baby who died.

What can you do to remember your baby?

You can do special things to remember your baby, even if didn’t have a chance to see, touch or hold him. Remember your baby in ways that are special to you. You may want to:

• Collect things that remind you of your baby, like ultrasound pictures, footprints, a lock of hair, a hospital bracelet, photos, clothes, blankets or toys. Put them in a special box or scrapbook. Keepsakes like these can help you remember your baby.
• Have a service for your baby, like a memorial service or a funeral. A service can give you a chance to say goodbye to your baby and share your grief with family and friends. Your hospital may have a service each year to remember babies who have died.
• Write your thoughts and feelings in a journal, or write letters or poems to your baby. Tell your baby how you feel and how much you miss her. Or paint a picture for her.
• Light a candle or say a prayer in honor of your baby on holidays or special days, like his birthday or the day he died. Do something on your own or bring family and friends together to remember your baby. Read books and poems or listen to music that you like and find comforting.
• Plant a tree or a small garden in honor of your baby.
• Have a piece of jewelry made with your baby’s initials or her birthstone.
• Donate to or volunteer for a charity in your baby’s name, or give something to a child in need who’s about the same age as your baby would be. Dedicate a project to your baby, like raising money to build a swing set in a park.

More information

From hurt to healing (free booklet from the March of Dimes for grieving parents)

Share Your Story (March of Dimes online community for families to share experiences with prematurity, birth defects or loss)

Centering Corporation (grief information and resources)

Center for Loss in Multiple Birth, Inc. (for families who have lost a multiple)

Compassionate Friends (support for families after the death of a child)

First Candle (support for families with children who died of SIDS or preventable stillbirth)

International Stillbirth Alliance

Journey Program of Seattle Children’s Hospital (support for families after the death of a child) 

Now I Lay Me Down to Sleep (remembrance photography)

Perinatal Hospice & Palliative Care (resources for parents who find out during pregnancy that their baby has a life-limiting condition

Share Pregnancy & Infant Loss Support (resources for families with pregnancy or infant loss)

Star Legacy Foundation (support for families who have had a stillbirth)

Twinless Twins Support Group International (support for families who have lost a multiple)

Last reviewed: October, 2017

Why the baby loses weight in the first days of life

At birth, the child begins to adapt to the environment. It is at this moment that the so-called transitional, or borderline, states can be observed in him. Weight loss in newborns in the first days of life is just one of these phenomena.

If the pregnancy went without complications, then the newborn, most likely, after giving birth will carry three or a little more kilograms. However, closer to discharge, many mothers notice that their baby has lost some weight. And this fact involuntarily causes concern: after all, the pace of development of the baby depends on body weight. But in fact, there is no reason to worry. Weight loss in newborns in the first days of life is a completely natural process, which doctors call the physiological weight loss of a newborn, if, of course, it occurs within certain limits.

Limits of normal

Weight loss is associated primarily with the loss of fluid through the skin and lungs during breathing. In addition, after childbirth, the baby's umbilical cord dries up, urine and meconium (original feces) begin to stand out, which accumulated all the time of intrauterine development. And since the newborn takes quite a bit of milk from his mother, the volume of fluid received by his body is less than the amount of moisture that he emits. Both temperature and humidity in the room where the child is located are very important. Normal indicators are 18-21 ° C and about 70% humidity. The higher the temperature and the lower the humidity, the more the baby sweats and, accordingly, loses weight.

Maximum weight loss can be seen around 3–5 days of age. The norm is a loss of 5 to 10% of the original weight. Therefore, if at birth your baby weighed 3 kilograms, at discharge he may weigh 150-300 grams less. But if the baby was born prematurely, then at discharge, the weight can go up to 15% of the original parameters. Newborns with extremely low body weight (less than 1 kg) sometimes lose weight by 18%.

How to track changes in weight?

Most of the time, weight loss is temporary and your child will recover quickly, in just a few days. But sometimes the causes of weight loss can be a sign of a serious medical condition and require a medical examination.

It is useful to compare the doctor's weighings with home scales, because sometimes their readings can differ and it is illogical to compare weighings from different weights, because in this case the results will show changes that simply do not exist. You can also determine changes in weight with the help of clothes - if your usual clothes have become free - this is a reason to think.

What to do if the weight comes off too much?

If you notice that your baby is losing too much weight, it is very important to identify the cause of this condition in time. Sometimes a consultation with your pediatrician is sufficient, but sometimes it may be necessary to do a few more tests to make an accurate diagnosis, especially if there is an underlying medical condition.

There are many reasons for rapid weight loss. That is why it is important to consult a doctor in time so that he diagnoses this condition and, if any disease is detected, begins treatment in a timely manner. Do not forget about the observance of preventive measures. Even with a slight weight loss, pay attention to it, trying to determine the cause of what is happening.

Weight loss in an infant in the first days of life: the limits of the norm and when to sound the alarm - Parents.ru

Baby

Photo

Hessam Nabavi/Unsplash

neonatologist

If the pregnancy was uneventful, the baby will most likely weigh 3-3.2 kg immediately after birth. But by the end of their stay in the maternity hospital, mothers notice that the baby has lost a little weight, because both indicators are recorded on the exchange card, which is issued upon discharge. This difference involuntarily causes concern: after all, the pace of development of the baby depends on body weight. But in fact, there is no reason to worry. Weight loss in newborns in the first days of life is a natural process that doctors call the physiological weight loss of a newborn, if, of course, it occurs within certain limits.

Limits of normal

Weight loss is primarily associated with the loss of fluid through the skin and through the lungs during breathing. In addition, the umbilical cord dries up, urine and meconium (original feces) accumulated during the prenatal development of the child begin to stand out. And since the baby takes quite a bit of milk from the mother, the volume of fluid received by his body is less than the amount of moisture that he emits. The temperature and humidity of the air in the room where the baby is located also matters. Normal indicators are considered to be 18−21 ° C and about 70%, respectively. The higher the temperature and the lower the humidity, the more the baby sweats, and this contributes to weight loss.

The maximum weight decreases usually by the 3rd-5th day of life. Normally, the loss is from 5 to 10% of the initial body weight. So, if a newborn weighs 3 kg, normally he can lose weight by 150-300 g. But if the baby was born prematurely, then in the first days of life this figure can be up to 15% of the initial parameters. Children with extremely low body weight (less than 1 kg) sometimes lose weight by 18%. The boundaries are also pushed apart during prolonged childbirth or if the baby has received a birth injury.

One of the conditions for a quick recovery is early attachment of the baby to the breast. This can be done as early as 20 minutes after its birth.

Urgent doctor!

Seek medical attention if your weight loss exceeds 10% of your original body weight five days after delivery. It is worth noting that with a decrease in the baby's body weight by more than 10%, the newborn shows signs of dehydration.

Photo

Pexels/Pixabay

A young mother may be concerned not only about her baby's weight loss in the first days, but also about her baby's appearance. Newborn babies do not always look like cute rosy-cheeked little ones, as they are sometimes shown in the movies. White plaque, bluish skin tone, newborn jaundice, reddish vesicles on the skin - all this, as a rule, is in the order of things, it disappears over time and you should not worry about it.

Proper care

Preventing newborn weight loss is almost impossible. But if you organize the right care and establish breastfeeding, recovery will go faster, and weight loss will be minimal.

Healthy children recover quite quickly: already on the 6th-8th, maximum 14th day of life, the baby will regain its previous weight. With normal care and breastfeeding, the baby will then begin to add from 125 g to 500 g per week. Prolonged recovery or too much weight gain indicate health problems, such as an infectious process or congenital disorders.

Drinking regime should also be observed. A breastfed child is supplemented with water if he has thick stools and rarely urinates, and also in summer when it is very hot outside.

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