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The purpose of this paper is to explore the impact of pregnancy or baby loss on families, and their ability to access suitable support. Miscarriage and stillbirth are not rare events and losing a baby can have an overwhelming and long-term impact on parents and on existing and subsequent children.

This paper provides an overview of current relevant research, policy and practice.

Much research and service provision focuses on pregnancy or baby loss for parents without living children. This is predicated on the widely held assumption that existing children provide a protective factor mitigating the loss and going on to have another child is the best antidote to grief. Research does not substantiate this but highlights the difficulties parents experience when coping with pregnancy or baby loss alongside the needs of looking after existing children.

The identification of a “hidden” group of parents and children whose mental health and wellbeing is at risk without the provision of services. A tailored approach to the needs of the family is called for, including greater collaboration between statutory and third sector organisations.

Twin to Twin Transfusion Syndrome (TTTS) is a well understood, yet under-recognized, placental disease affecting any given pregnancy at a rate of 1 in 1,000. There is no clustering of TTTS; instead the threat remains pathologically distinctive due to its pervasiveness. However, while incidence rates are random, survival rates are not. Despite compliant acceptance of “routine prenatal care,” sadly, there are many women who for currently unknown reasons are not receiving the advanced prenatal care needed to appropriately screen for, diagnosis and treat TTTS. And these women are paying the ultimate price for such obstetrical oversight.

This study hypothesizes that differential care being given by primary obstetricians of TTTS patients is resulting in experienced inequalities. Utilizing social reproduction theory, and through ethnographic and quantitative analyses of primary data, this study seeks to divulge the complex social processes taking place (or failing to take place) within the world of American obstetrics, and begin to understand how they are affecting TTTS mortality and morbidity rates.

Findings illuminate a profound imbalance of power and influence amongst the following entities: American Congress of Obstetricians and Gynecologists and Society of Maternal Fetal Medicine; obstetrical training and practice; and levels of patient awareness and advocacy.

This study argues that the current social relations being reproduced by these entities are perpetuating a climate that allows for disregard of proper TTTS management. Specifically, this study theoretically explores what social relations and subsequent (in)actions are being reproduced prior to TTTS diagnoses, and applies the effects of those observations.

Starting from an event occurring in 2018, I consider burials of abortive remains as a battleground for reproductive governances. Public debate on pregnancy loss is often intertwined with the abortion debate. In Italy this association caused a considerable delay in implementing practices recommended by international guidelines on pregnancy loss. In this essay, I analyse burial regulations and the ways in which they are enforced asking what is at stake when the State, the regions, the Catholic Church, healthcare and cemetery professionals and women undergoing a termination or a pregnancy loss decide what to do with bodily remains. What is the meaning of these peculiar dead bodies? How are they publicly named? What are the effects of the actions performed on fetal remains over the lived experiences of women and couples with different reproductive histories? Who has the right to make decisions over these peculiar bodies and relationships?

Based on a long-term ethnography on abortion and pregnancy loss in Italy, I explore the inherent complexity of these questions, arguing that burial practices conflict with abortion rights when they signify the body unequivocally, separating it from social and intimate relationships, fixing its identity and determining the conditions for its recognition. Human flesh, sociologically understood (Memmi, 2014), is both material and symbolic: a fluctuating reality that takes on different meanings and affects over time within relationships.

Purpose: Miscarriage is commonly understood as an involuntary, grieve-able pregnancy outcome. Abortion is commonly understood as a voluntary, if stigmatized, pregnancy outcome that people do not typically grieve. This chapter examines a nexus of the involuntary and voluntary: how people who chose abortion following observation of a serious fetal health issue make sense of their experience and process associated emotions.

Design: The author draws on semi-structured interviews with cisgender women who had an observed serious fetal health issue and chose to terminate their pregnancy.

Findings: Findings highlight an initial prioritization of medical knowledge in pregnancy decision-making giving way, in the face of the inherent limits of medical knowability, to a focus on personal and familial values. Abortion represented a way to lessen the prospective suffering of their fetus, for many, and felt like an explicitly moral decision. Respondents felt relief after the abortion as well as a sense of loss. They processed their post-abortion emotions, including grief, in multiple ways, including through viewing – or intentionally not viewing – the remains, community rituals, private actions, and no formalized activity. Throughout respondents’ experiences, the stigmatization of abortion negatively affected their ability to obtain the care they desired and, for some, to emotionally process the overall experience.

Originality/Value: This chapter offers insight into the understudied experience of how people make sense of a serious fetal health issue and illustrates an additional facet of the stigmatization of abortion, namely how stigmatization may complicate people’s pregnancy decision-making process and their post-abortion processing.

Purpose – The transition into motherhood is a major life course event for most women, and is one that can be fraught with difficulties due to the uncertainty and instability which accompanies it. Previous research has explored what factors interplay within this transition with identity changes being considered a key attribute. By using assemblage theory, this study aims to undertake an innovative approach to conceptualising identity. Assemblage theory permitted an exploration of how an identity comes to be assembled and embodied through a mother’s relationality with the social world around her as opposed to merely exploring identity as a static entity of a fixed, organic whole as has predominantly been done previously. Assemblage theory is premised upon understanding processes of becoming as opposed to states of being and as such takes a machinic approach to understanding wholes. Rather than being organic totalities, they are conceptualised as being transient and fluid entities comprising an amalgamation of interchangeable components which collectively stabilise to make up the whole. At times of change, an individual’s ties to an identity undergo deterritorialisation, or weaken, as their sense of self and identity readjusts before then experiencing reterritorialisation once they (re)established their ties to a new identity or role. By conceptualising the mothers as assemblages in this manner, it became possible to understand how the women reconstructed their selves and identities through the situated practices and experiences in their everyday lives as they established ties to their new role as a mother.

Methodology/Approach – Results are presented from biographical narrative interviews with 10 mothers each at different stages in motherhood. The interviews focussed on inducing uninterrupted narratives detailing the lived experiences of these women as they transitioned into and across motherhood. These interviews highlighted key stages in the transition into motherhood where a woman’s identity and sense of self would become destabilised and reformulated as a result of changes in her everyday lived experiences and routines.

Findings – Transitioning into motherhood proved to be a multifaceted process that comprises numerous stages where the new mothers identities would become unstable and deterritorialise as they faced new routines in their everyday life as they became a mother and settled into the role. Four dominant themes emerged during data analysis; emotional turmoil, the reconstruction of relationships, getting comfortable with their baby as well as rediscovering the self. The women largely experienced emotional turmoil as their identities became deterritorialised and reported that the relationships they held with others around them often changed or broke down entirely. It was not until they became comfortable with their baby and their role as a mother that they were able to rediscover their ‘self’ beyond simply being a mother. Once they reached this stage in the transition their identity was able to reterritorialise, becoming more stable as a result.

Originality/Value – This study not only presents an innovative method for conceptualising identity but also demonstrates the value of assemblage theory for conceptualising identity formulation and capturing the fluid and emergent nature of such processes. It demonstrates how assemblage theory can be utilised to further understandings of the multifaceted and ongoing nature of life course transitions. This study sheds light on the potential for assemblage theory to be utilised across a range of sociological topics relating to identity formulation, with such studies having the potential to really broaden the scope of sociological understandings of identity formation and life course transitions.

Miscarriage is the most common adverse pregnancy outcome, with an estimated one in four pregnancies ending in loss. Despite its prevalence, and significant effects, early pregnancy loss is commonly unacknowledged by organizations, and the intersect of miscarriage experiences while navigating work remains sparsely researched. Available literature, and preliminary research from my Ph.D., reveal stark findings, notably that women commonly conceal miscarriage at work, and when they do disclose, they often experience inconsistent support, or none at all. Minimization, and even discriminatory practice, are commonly witnessed (including inappropriate absence reporting, formal warnings, jeopardization of promotional opportunities, and redundancy). Effective support is often due to empathetic line managers, who sometimes have first-hand experience. Partners are commonly assigned to the “supporter role”, resulting in insufficient leave and support. The absence of formal initiatives, including policy and training, exacerbate the issue. Workplaces that fail to address miscarriage likely face reduced engagement and productivity, and increased absenteeism, presenteeism, and staff turnover. Key recommendations are presented, emphasizing the need for organizations to (i) implement a pregnancy loss policy; (ii) train managers, HR, and colleagues; (iii) provide specialist support; and (iv) tackle pro-natal cultures. Avenues for future research are explored, notably the need to adopt an intersectional lens, and to obtain management/HR and partner perspectives.

In the contemporary US, pregnant women must navigate competing ideas about their bodies, including expectations for weight gain. Given that there are few social spaces where women may gain weight without disapproval, pregnancy represents a period when women are allowed to put on weight. However, gaining weight means doing so within the context of the obesity “epidemic” and increased medical surveillance of the body. To explore how women navigate the medicalization of pregnancy weight, I draw on data from in-depth interviews with 40 pregnant and recently pregnant women. Findings indicate that women reframe the meaning of pregnancy weight as “baby weight,” rather than body weight. This allows them to view it as a temporary condition that is “for the baby,” while holding two concurrent body images – a pregnant and a non-pregnant version of themselves. Women also resist the quantification of their maternity weight, either by not keeping track or not looking at scales in the doctor’s office. Doing so prevented baby weight from turning back into body weight – a concrete and meaningful number on the scale. Such resistance to quantification is often accomplished with the help of doctors and healthcare professionals who do not explicitly discuss weight gain with their patients. These findings suggest that women rely on a variety of strategies to navigate the medicalization of pregnancy weight, and provides another lens through which to understand how and why women may make similar choices about other medicalized aspects of their pregnancy (or pregnancy experiences).

Research examining the experiences of women in the workplace has, to a large extent, neglected the unique stressors pregnant employees may experience. Stress during pregnancy has been shown consistently to lead to detrimental consequences for the mother and her baby. Using job stress theories, we develop an expanded theoretical model of experienced stress during pregnancy and the potential detrimental health outcomes for the mother and her baby. Our theoretical model includes factors from multiple levels (i.e., individual, interpersonal, sociocultural, and community) and the role they play on the health and well-being of the pregnant employee and her baby. In order to gain a deeper understanding of job stress during pregnancy, we examine three pregnancy-specific organizational stressors (i.e., perceived pregnancy discrimination, pregnancy disclosure, and identity-role conflict) that are unique to pregnant employees. These stressors are argued to be over and above the normal job stressors experienced and they are proposed to result in elevated levels of experienced stress leading to detrimental health outcomes for the mother and baby. The role of resilience resources and learning in reducing some of the negative outcomes from job stressors is also explored.

The Centre for Training and Rehabilitation of Destitute Women (CTRDW, also the Centre throughout) is a euphemistic name for a shelter for abandoned pregnant women and their infants in Dhaka, Bangladesh. Seventeen percent of the women admitted to CTRDW over an eight year period (1981–1989) are very young teenagers (15 years of age and under) who have sustained unmarried, and therefore unwanted, pregnancies. It is with these young mothers that this paper is concerned. The circumstances under which these young women find themselves both pregnant and abandoned by their families are culturally constructed. The data presented here are taken from CTRDW admission records, life histories taken by the CTRDW Social Worker, interviews with the Director, Betty Steinkrauss Brown, and her extensive correspondence with her family in Canada.¹ Betty is a Canadian woman who originally went to Bangladesh is 1977 to administer the Families for Children (FFC) orphanage in Dhaka.

The purpose of this paper is to examine the silences and silencing in the workplace and elsewhere related to women's experiences of perinatal loss.

Qualitative data from in‐depth interviews with 13 women who experienced perinatal losses between 1965 and 1999 are interpreted using Foucault's concepts of power/knowledge as pervasive in social relationships.

Women who experienced perinatal loss were physically divided from others in hospitals. Hospital practices changed over time. Knowledge about perinatal loss has been scientifically classified in medicine, psychology, and related fields. This knowledge has changed between 1965 and 1999. Perinatal loss is rarely mentioned in organizational and professional literatures outside of health care. In addition to experiencing silencing from others, women silenced themselves about their perinatal losses.

Data were collected from interviews with women from the Great Lakes region of the USA. Further research should include a greater number of parents from a wider geographic area.

Dividing practices and silences collect a toll in depression, severed relationships, derailed careers, and missed opportunities for development. As people begin to speak with one another about perinatal loss, their voices contribute to a fully human work community and polyphonic organizations.

This paper makes a contribution to knowledge about perinatal loss and its impact on women's careers and grief in the workplace from a postmodern perspective.