ABSTRACT

Background and Objectives

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.

Design and Methods

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.

Results

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.

Conclusions

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.

中文翻译：

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先前因胎儿异常终止妊娠 (TOPFA) 后的孕妇咨询：双重 RAINBOW 方法

摘要

背景和目标

流产非常普遍，但临床提供者很少有干预措施来帮助再次怀孕的父母。可能更不普遍的是因胎儿异常 (TOPFA) 而终止妊娠的父母的实践模型。在这篇文章中，我们介绍了“双彩虹”的首字母缩写词，它为 TOPFA 后再次怀孕的人提供有证据支持的指导。

设计与方法

使用提示：记住；排练和预测；附加和内化；质询决定；中和；归一化；纽带; 呼吸和观察；优化健康；Weave and Whole story，我们将干预技术与循证治疗和临床实践实例联系起来。

结果

为了填补因胎儿异常而终止妊娠后在后续妊娠期间对人们进行有效干预的指导空白，我们旨在改进此类治疗，同时鼓励对该方法进行评估，鼓励对其在更广泛人群中的使用进行评估。

结论

双 RAINBOW 方法将循证疗法结合在一起，同时还致力于区分过去的损失并促进因胎儿异常而终止妊娠的客户的父母依恋和护理系统。