Many women and their partners,whether infertile or not,will experience perinatal loss.The nurse who cares for these families should understand that those experiencing a "silent" or "hidden" loss will also grieve and require the support of caregivers,family,and friends.A(n)_________________ is not an example of a silent loss.

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Stillbirth is particularly devastating because it occurs suddenly and at the end of the pregnancy.It is not a silent loss because the expectant parents and their family are preparing for the delivery of a healthy infant.Approximately 20 of each 1000 pregnancies result in an ectopic pregnancy,which are those that take place outside the uterus,most commonly in a fallopian tube.Others in the woman's network may not yet have knowledge of the pregnancy and subsequent loss.Hidden or silent losses are those that occur early in the pregnancy.Approximately 15% of pregnancies end in miscarriage.This is also a hidden loss because miscarriage occurs early in the pregnancy.Families and friends may not feel comfortable bringing up the loss with the woman or her partner.Feelings of helplessness or loss of control are common,especially if there is no identified cause for the miscarriage.The nurse must be supportive especially if the couple has had repeated miscarriages.Abortions are induced for a number of reasons,often for congenital anomalies.This often occurs earlier in the pregnancy prior to many in the mother's support network having knowledge of the event.

Many Women and Their Partners,whether Infertile or Not,will Experience Perinatal