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ACC Accord Summer 2021 Issue 111

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feature<br />

Pregnancy loss<br />

by Amanda Padley<br />

Pregnancy loss affects around<br />

1 in 4 women and if not<br />

personally affected then most of<br />

us know someone who has been.<br />

Yet despite the high statistics, it<br />

remains an often taboo subject<br />

with women, partners and families<br />

struggling to find help. In April this<br />

year, the government announced<br />

that 26 new dedicated NHS hubs<br />

would be created to support<br />

thousands of pregnant women and<br />

new mothers who would be able to<br />

access specialist help and support.<br />

The 26 hubs will bring maternity,<br />

reproductive and psychological<br />

services together as part of the<br />

NHS long term plan. Around 6000<br />

women will be able to access care<br />

for a wide range of maternity and<br />

mental health services. The hubs<br />

are planned to be open by April<br />

2022. While there is a recognition of<br />

the devastating effect of pregnancy<br />

loss, nothing is mentioned about<br />

post-abortion support for women.<br />

My name is Amanda, I’m an art<br />

psychotherapist working for a<br />

charity in North Wales called<br />

IPAC Options. IPAC focuses on<br />

unplanned or crisis pregnancy and<br />

pregnancy loss, including abortion,<br />

and is part of the PCN (Pregnancy<br />

Centres Network), a network<br />

which has currently around eighty<br />

five centres across the UK and is<br />

expanding. Many centres have<br />

waiting lists, an indication of the<br />

need for the work. Along with<br />

crisis pregnancy and post abortion<br />

support, I have also met with clients<br />

who have experienced multiple<br />

miscarriages and also those who<br />

are going through the gruelling<br />

process of fertility treatment. The<br />

centres are not just for women but<br />

also their partners, as pregnancy<br />

loss can affect the wider family or<br />

be a secret invisible grief.<br />

ART THERAPY<br />

I think I have always had a<br />

fascination with the miracle of<br />

birth. The words of Psalm 139, ‘for<br />

I am fearfully and wonderfully<br />

made, knit together in the secret<br />

place,’ have always held an awe for<br />

me; so it felt natural to specialise<br />

in this area. For many years as<br />

an artist I had worked dyadically<br />

with women and children, but<br />

it was the women’s stories that<br />

captivated me rather than working<br />

with children, so when I began<br />

my placement I chose a women’s<br />

centre. Art therapy uses visual<br />

expression and art materials as the<br />

primary source of communication.<br />

Sometimes words are inadequate,<br />

particularly with trauma, so using<br />

symbols and metaphors enables<br />

us to speak from deep within<br />

and express ourselves through<br />

artmaking. That is not to say that<br />

art therapists don’t talk with their<br />

clients. I have primarily worked<br />

with adult women, and women<br />

like to talk! The women at the<br />

centre responded really positively<br />

to art therapy, and as they shared<br />

their stories, I became aware of<br />

how many had been affected by<br />

pregnancy loss and post abortion<br />

grief.<br />

A WOMAN’S CHOICE<br />

In this country it is a woman’s<br />

choice and legal right to terminate<br />

a pregnancy. However that does<br />

not mean it is a simple choice; often<br />

complications and coercement<br />

have influenced that decision. I<br />

have had clients confused and<br />

angry that no one had warned<br />

them about the negative<br />

consequences of abortion. They<br />

told me, ‘A friend had one and<br />

she was fine.’ Another recalled<br />

that they had seen a character on<br />

a soap opera have a termination<br />

and just move on; then why did<br />

they feel this way when it was only<br />

a bunch of cells? Confusion, grief<br />

and anger often accompany post<br />

abortion work. There is always the<br />

‘What if’ and the ‘What would have<br />

been’ at the back of the mind. For<br />

some women post abortion loss<br />

or trauma, is an unspoken secret,<br />

complicated and a disenfranchised<br />

grief, a taboo not recognised by<br />

society and difficult to find help<br />

for. Figures published by BPAS<br />

(British Pregnancy Advice Service)<br />

state 95% of women felt they had<br />

made the right choice, 5% did not.<br />

In 2019 alone 207,384 women had<br />

abortions (Dept of Health and<br />

Social care) so 5% means 10,369.2.<br />

Over ten thousand women did not<br />

feel they made the right choice.<br />

As Christians we have the biblical<br />

model of God’s recognition of<br />

unborn life, but the rights of the<br />

foetus are outweighed in our<br />

society by the rights of the mother<br />

www.acc-uk.org • www.pastoralcareuk.org accord <strong>Summer</strong> <strong>2021</strong><br />

41

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