The nurses and staff in Labor & Delivery are often able to share much joy with families as they assist families in bringing new life into the world. Unfortunately, there are times when outcomes are filled with grief. There has been an increase in fetal losses this year in W&I and it has been particularly difficult for staff as well. Recently, a family experienced a fetal loss at 36 weeks. While any loss is difficult, it is especially painful for families of near-term pregnancies.

As a grandmother of two, I can reflect on memories in which our family participated in guessing games as to the sex of the baby. I just cannot begin to understand the disappointment a family experiences after excitement builds up for so many months. Theresa Long, Bereavement Nurse Coordinator, not only comforts families with their losses, but she also looks out for the staff’s well-being. An ANM on L&D reported that Theresa checked in with staff after the 36-week fetal loss because it was particularly difficult for the staff.

The manager stated, “This is a tiny example of how purposeful Theresa attempts to be, not only with the patients but with staff as they ride the emotional roller coaster of fetal loss”. Earlier this year, Theresa and another nurse received a lovely commemorative card from a patient whom they cared for towards the end of last year. The card expressed appreciation for the care provided to the woman and her husband, and for the way they cared for their sweet baby girl. They included beautiful pictures with the card and a personalized note expressing their gratitude for treating their baby girl with dignity and respect.

As part of a patient’s bereavement package, they receive a layette and an angel gown. The woman informed Theresa that they used the angel gown as a tree topper at Christmas. Theresa and the other nurse were both moved to tears. Theresa has spoken to the patient since then and hopes to continue that relationship. Theresa has received many calls over the years from mothers wanting to share how much they appreciate the memorabilia and keepsake items W&I provides. Several have asked how they can donate to help other families.

One former patient donated five gift bags filled with memory-making items in memory of her daughter’s birthday. Another mom recently left a voicemail wanting to know if she can donate items for the mother’s self-care while an in-patient. During the call, the former patient became tearful explaining that hearing Theresa’s voice brought back so many memories of the loss of her son, but she was so appreciative of the care Theresa provided. Theresa often receives messages from moms who have had a loss and go on to full-term pregnancies. Some keep in contact throughout and after those pregnancies. Theresa said, “It is always heartwarming to get a message from a mom that she delivered a healthy baby, and then to get a picture of the baby!”

As mentioned before, Theresa checks on staff as much as possible and encourages them to reach out to the W&I Chaplain, explaining that he is an invaluable resource. She specifically pays attention to new nurses and tries to check in on them because these losses can make the job very challenging at the beginning of their careers. Theresa said, “I still struggle with fetal losses, and if I stop struggling, I will know it is time for a new job. Fetal loss should never be easy.” Theresa is hesitant to take any credit for her work stating that it is a team effort. However, I want to recognize her for the comfort and support she offers to patients and staff during difficult times.