Cited by 106Maternal Mental Health During Pregnancy and PostpartumReproductive Health and TechnologiesGrief, Bereavement, and Mental Health

Infertility and Perinatal Loss: When the Bough Breaks

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Bhat, Amritha, Byatt, Nancy·2016·Current Psychiatry Reports

Abstract

Infertility and perinatal loss are common, and associated with lower quality of life, marital discord, complicated grief, major depressive disorder, anxiety disorders, and post-traumatic stress disorder. Young women, who lack social supports, have experienced recurrent pregnancy loss or a history of trauma and / or preexisting psychiatric illness are at a higher risk of experiencing psychiatric illnesses or symptoms after a perinatal loss or during infertility. It is especially important to detect, assess, and treat depression, anxiety, or other psychiatric symptoms because infertility or perinatal loss may be caused or perpetuated by such symptoms. Screening, psychoeducation, provision of resources and referrals, and an opportunity to discuss their loss and plan for future pregnancies can facilitate addressing mental health concerns that arise. Women at risk of or who are currently experiencing psychiatric symptoms should receive a comprehensive treatment plan that includes the following: (1) proactive clinical monitoring, (2) evidence-based approaches to psychotherapy, and (3) discussion of risks, benefits, and alternatives of medication treatment during preconception and pregnancy.

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  • Lack of social support is a risk factor for prolonged grief.

    “Bhat and colleagues’ study has shown that the lack of social support is a risk factor for prolonged grief. 41”

    From Desired Care for Perinatal Bereavement: Meeting the Needs of Mothers After Discharge From the Hospital—a Qualitative Study (2024) · cites this paper as [41]

    The Grief section identifies lack of social support as a predictor of complicated grief following perinatal loss, and the Conclusions repeat that finding. The citing sentence omits the perinatal-loss context, so the paper does not establish the risk factor for prolonged grief after losses generally. (LLM, conf=0.84)

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References 111 · Cited by 106

Authors
Bhat, A., & Byatt, N.
Affiliations
  • University of Washington (US)
  • University of Massachusetts Chan Medical School (US)
Corresponding author
Bhat, Amritha
Venue
Current Psychiatry Reports
Published
2016-02-05
Volume
18
Issue
3
Pages
31-31
ISSN
  • 1523-3812 (ISSN-L)
  • 1535-1645
OpenAlex
W2258287631
Cited by
106
References
111
Citations by year
2026: 8 · 2025: 13 · 2024: 19 · 2023: 10 · 2022: 9 · 2021: 19 · 2020: 15 · 2019: 2 · 2018: 5 · 2017: 4 · 2016: 1 · 2012: 1
FWCI
0.59
Type
journal article
Language
en
Open access
Locations
  • Current Psychiatry Reports (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
  • The Journal of the American Medical Association (JAMA) Network (American Medical Association) (submittedVersion)
Funders
  • National Institutes of Health (KL2TR001455, KL2TR000160, 2t32mh020021-26)
  • National Institute of Mental Health (T-32MH020021, T32-MH20021)
  • National Center for Advancing Translational Sciences
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
  • Health Sciences › Medicine › Reproductive Medicine › Reproductive Health and Technologies
  • Social Sciences › Psychology › Clinical Psychology › Grief, Bereavement, and Mental Health
Keywords
infertility, perinatal loss, recurrent pregnancy loss, maternal mental health, depression, anxiety disorders, post-traumatic stress disorder, complicated grief, mental health screening, psychoeducation, psychotherapy, drug use in pregnancy, preconception care, social support
MeSH terms
Anxiety, Anxiety Disorders, Depression, Major Depressive Disorder, Female, Grief, Humans, Infertility, Pregnancy, Quality of Life, Stress Disorders, Post-Traumatic, Stillbirth

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