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Counseling pregnant people after previous termination of pregnancy for fetal anomaly (TOPFA): the double RAINBOW approach.
- Source :
- Anxiety, Stress & Coping; Mar2023, Vol. 36 Issue 2, p259-273, 15p, 2 Diagrams
- Publication Year :
- 2023
-
Abstract
- Pregnancy loss is exceptionally common, yet there exist few interventions for clinical providers to assist parents who are expecting again. Perhaps even less prevalent are practice models for parents who have terminated a pregnancy due to fetal anomaly (TOPFA). In this article, we present the "Double Rainbow" acronym, which provides evidence-supported guidance for counseling people experiencing a subsequent pregnancy after TOPFA. Using prompts of: Remember; Rehearse & Anticipate; Attach & Internalize; Interrogate decision; Neutralize; Normalize; Bond; Breathe & Observe; Optimize health; Weave and Whole story, we tie intervention techniques to evidence-based treatments and clinical practice examples. Filling a gap for guidance for effective intervention with people during subsequent pregnancies after termination of pregnancy due to fetal anomaly, we aim to improve such treatment while also encouraging evaluation of the approach, encouraging evaluation of its use with broader populations. The double RAINBOW approach weaves together evidence-based therapies while also attending to the work of distinguishing past losses and promoting parental attachment and caregiving systems in clients who have terminated a pregnancy due to fetal anomaly. [ABSTRACT FROM AUTHOR]
- Subjects :
- PREGNANT women
ABORTION
FETAL abnormalities
MISCARRIAGE
RAINBOWS
SUPPORTED employment
Subjects
Details
- Language :
- English
- ISSN :
- 10615806
- Volume :
- 36
- Issue :
- 2
- Database :
- Complementary Index
- Journal :
- Anxiety, Stress & Coping
- Publication Type :
- Academic Journal
- Accession number :
- 161831715
- Full Text :
- https://doi.org/10.1080/10615806.2022.2047179