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SCIENTIFIC PROGRAM <strong>•</strong> SYMPOSIA<br />

Tuesday, October 18, 2011 11:15 am – 1:00 pm<br />

Symposium<br />

Room 224 A/B<br />

DOUBLE JEOPARDY, INFERTILITY AND PRENANCY LOSS:<br />

HELPING PATIENTS AND STAFF COPE<br />

A Joint Session presented by the Mental Health Professional Group and the<br />

Nurses’ Professional Group<br />

Joann Paley Galst, Ph.D. (Chair)<br />

Private Practice<br />

Jeanette Rodriguez, M.S., R.N.C.<br />

Cornell University<br />

Owen K. Davis, M.D.<br />

Cornell University<br />

Needs Assessment and Description<br />

Superimposing pregnancy loss and repeated IVF failure<br />

upon the experience of infertility can stretch both patients<br />

and professionals to the limits of their grief tolerance.<br />

Patients often feel disconnected from their IVF medical<br />

personnel after learning of either an IVF failure or a<br />

subsequent pregnancy loss. Both physician and nurse<br />

communication can play a pivotal role in assisting patients<br />

in coping with their multiple losses.<br />

How do interdisciplinary members of the IVF staff perceive<br />

and experience patients’ losses and grief? Little research<br />

exists on the emotional strain to which the IVF professional<br />

staff may be subjected. The results of an interdisciplinary<br />

survey of IVF professionals will be presented to clarify this.<br />

In<strong>for</strong>mation regarding patient reactions to loss and<br />

how the professional can differentiate between<br />

normal and complicated grief will be presented, as will<br />

recommendations that staff can implement, both <strong>for</strong><br />

their patients and <strong>for</strong> themselves, to help cope with the<br />

abundance of loss encountered when working with an<br />

infertile population.<br />

71<br />

Learning Objectives<br />

At the conclusion of this session, participants should be able<br />

to:<br />

1. Recognize how the definition of pregnancy loss has<br />

expanded as a result of assisted reproductive<br />

technologies.<br />

2. Acknowledge the impact of pregnancy loss and IVF<br />

failure on the patient, the physician, and the nurse in an<br />

IVF practice.<br />

3. Differentiate between normal and complicated grief.<br />

4. Consider the need <strong>for</strong> IVF nurses and reproductive<br />

endocrinologists to recognize their own feelings of loss<br />

in order to come to a healthy resolution regarding the IVF<br />

failures and pregnancy losses of their patients, both to<br />

avoid burnout and to be able to maintain a therapeutic<br />

presence <strong>for</strong> their patients.<br />

5. Recognize that the IVF staff needs to maintain<br />

communication with patients after an IVF failure or<br />

pregnancy loss and how therapeutic communication with<br />

patients can be effectively implemented.<br />

ACGME COMPETENCY<br />

Patient Care<br />

Interpersonal and Communication Skills<br />

TEST QUESTIONS:<br />

After participating in this session, on my practice I will:<br />

A. Address the medical needs of my patients and assume<br />

that the emotional needs of my patients experiencing IVF<br />

failure and pregnancy loss will be taken care of by others.<br />

B. Recognize my own and my staff’s emotional needs in<br />

coping with the frequency of patient losses experienced<br />

in an IVF practice, but have no system built into our<br />

practice to address these needs.<br />

C. Contact my patients after learning of their IVF failure or<br />

pregnancy loss to express my sympathy and indicate my<br />

availability to answer any questions that they may have,<br />

as well as encourage emotional support between the<br />

interdisciplinary members of our IVF team to address my<br />

staff’s own emotional needs in coping with the<br />

frequency of patient losses experienced in an IVF<br />

practice.<br />

D. Not applicable to my area of practice.

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