6. When couples have separated

Many couples find it helpful to grieve together and to remember their baby as a shared experience. However, if you have separated from your partner during the pregnancy or after your baby died, you may not have the option of sharing your grief with each other.

If you feel able, you could make joint decisions and arrangements, and if you have other children together, working together to support them may also be helpful so they receive consistent care and information about the baby and what has happened. More in the Related Articles below.

Grieving on your own can be especially difficult and you may need additional support from family and friends, or to seek professional support. You may find that crying and talking about your baby are good ways of releasing feelings, and you may want to tell your story over and over again or find it helpful to write down what happened and how you feel day by day.

Not being able to share your experience with the other parent of the baby can feel isolating, even if there are other people to support you. Think about how you need to express your grief and what support you might need. Sands can provide you with your own memory box if this is what you would like.

5. Baby-related mail

Reminders such as baby-related mail or adverts on social media an also be a source of distress.

If, at the start of your pregnancy, you signed up to any baby clubs or for any mailings, you can cancel these subscriptions or ask someone to do this for you.

You can also reduce the amount of baby-related mailings by contacting the Baby Mailing Preference Service.

4. Special occasions

Special days such as Mothers’ Day, Fathers’ Day, and family gatherings are times when parents often feel renewed sadness.

Festivals such as Christmas, Diwali, Eid or Hanukkah, where celebrations focus on family, may be hard. The build-up and anniversary of your baby’s death or due date may feel especially painful.

You and your partner/family might want to plan a day off together so that you can do something special to remember your baby.

3. Individual grief

The stress on couples when a baby dies can be huge. It is very difficult to give support and understanding to someone else when you are so sad and in need of support yourself. Grief is very individual, and the way that it comes and goes means that, often, you and your partner may not feel or need the same things at the same time. You may also have different ways of expressing and dealing with your feelings.

Sometimes couples find it hard if their grief patterns do not match and one partner may feel that the other is not grieving as much or in the same way. This can put a strain on your relationship. Some partners put their grief on hold for a while and concentrate on supporting their partner or the birth mother. Their grief may emerge weeks or even months after their baby’s death. Some partners may find it hard to open up having kept things in for so long. Again we can support you with this.

Whether your grief is immediate or delayed, there will probably be times when your whole existence seems to be taken up with grief. Because grief can come in waves, you may also find that you can cope well for hours or even days. Some parents feel guilty about this and worry that they are being disloyal to their baby, but this doesn’t mean that you have forgotten or no longer care about your baby. It’s quite common to have periods of calm and normality between waves of acute sadness.

2. How people refer to your baby

You might find that the health professionals caring for you, or even some family and friends, use technical definitions when talking about your baby without realising how these definitions might make you feel.

For example, if your baby died at 23 weeks of pregnancy, they might say that you had a “late miscarriage” rather than that your baby died. This could be because the requirements for registration are different, depending on when your baby died.

However, it is important that you tell family, friends and professionals what language you prefer. They might know other parents who use different language to describe a loss that occurred at a similar time in pregnancy.

1. Practical and emotional support

As a partner, you might be expected to take the lead role in telling family and friends, liaising with health professionals, making funeral arrangements and supporting the birth mother. This can feel overwhelming, particularly when you are also grieving for your baby. Consider asking for help when you can. You might like to speak with one or two close family members or friends and ask them to tell others. They can also answer questions on your behalf. You may prefer to send an email or text, or put some information on social media to more distant friends and relations, telling them about your baby, what has happened, and how you would like them to make contact and support you in the coming weeks and months.

If your baby died around the due date, people are usually eagerly awaiting your news and are enthusiastic to hear about the baby. If you phone family and friends you could start by saying, “I have some very sad news.”. This can help set the tone for the conversation and may reduce the number of inappropriate and upsetting questions. You can also set expectations about the length of the conversation, by saying “I can only talk for a few minutes,” at the beginning, which may help you end the call when it feels right for you. If your baby died in neonatal care, people around you might have known of your baby’s health problems, but they may still struggle to find the words.

Your family and friends may just not know what to say to you. As your news will be upsetting to other people, and perhaps even trigger difficult memories of their own, you might feel you want or have to support them or apologise for upsetting them. It is important to remember that this is your experience of baby loss and you need to receive support at this time rather than provide it to your wider group of family and friends.

Try not to feel that you have to answer everyone’s questions. Say only as much as you feel able. Later, you could follow up your calls or texts with emails providing more information and outlining any help you may need. You may want to ask people to help you look after any other children you have and to support you in carrying out daily activities like cleaning and cooking. People are often keen to help and appreciate clear requests and boundaries. For example, you could say, “Please could you bring food around on Thursday and you are welcome to join us”, or “If you don’t mind we are not really up to conversation or eating together, but having you bring over a meal would be lovely.”

You could also ask people to help you talk with any other children you have about the death of their sibling. There is more information about this in the Supporting Children section.

You may want to tell people what you would like them to say on your behalf, including whether and how you want to be contacted in the first few days. For example, you might prefer for people to send cards, texts or emails rather than phone you. These preferences can be communicated on your behalf. It is possible that you don’t know what you need or would like people to say on your behalf and we are here to support you through this.

Besides communicating with family and friends, you may need to communicate with people outside your family in the days after your baby has died.
There may be conversations to be had with employers, council officials, hospital staff, benefits agencies, life insurance companies, funeral directors or other agencies.
Take your time talking to them and explain what has happened early on, so they can be as supportive as possible.
If you need help working out what to say, please consult our website for a list of useful organizations that can help with many practical aspects around loss.

12. What to expect when your baby is born

Knowing that your baby has died before birth will not necessarily prepare you for the silence that follows once they are born. The silence can be “loud” and this can be very distressing.

Once your baby is born and your condition is stable, you can begin to think about the choices you want to make. For example, you can think about whether you want to see and hold your baby and to have photographs taken. You may also want to create other memories such as hand and foot prints, or save a lock of your baby’s hair. You might have already started thinking about these decisions in the time before you gave birth.

If you are in a state of shock, or are feeling drowsy because of your medication, do not feel rushed into making decisions or feel that you cannot change your mind. Your baby will be cared for until you feel ready to make decisions. Later on, you might also have questions and want to understand more about what happened during labour. You may also find it helpful to go through the medical notes with the doctor or midwife.

11. Having a caesarean section

If you are found to be critically ill, the priority will be to save your life and, if your baby is still alive, the safest and quickest way to save them. There will not necessarily be time to make choices. If there is time, do tell the staff if you have any particular wishes such as if and how you want to see your baby.

This situation can be very frightening for both parents. It can be particularly difficult for the partner, who can feel powerless and frightened.

Except in an emergency, you will probably be offered a spinal or an epidural anaesthetic for a caesarean section. This is usually safer than a general anaesthetic, and recovery is often quicker. It also means that your partner, or someone else you have chosen, can be with you in the operating theatre and that you will be awake when the baby is born. However, there may sometimes be medical reasons for having a general anaesthetic.

10. What to expect during labour

Different women can have different experiences of pain during labour. Some women feel pain more intensely if they feel afraid, shocked or distressed. An induced labour can be more painful than a labour that starts by itself. Inducing labour can also take a long time, especially if it is some time before your baby is due.

You may decide to use self-help techniques in the early stages of labour. For example, you might try relaxation, a warm bath, breathing awareness, massage, and different positions.

If you decide that you want additional help with pain relief, it is usually possible to change from one method of pain relief to another during labour.

Most maternity and gynaecology units can offer strong pain-relieving medication such as diamorphine. This can be given either as an injection or through a drip in your arm.  Some people find this type of pain relief helpful while others might not. Strong pain medication can reduce the pain and help you relax, but it may not take the pain away completely. It can make some people feel sick, drowsy or forgetful. If the medication is given shortly before the birth, you may still feel drowsy when your baby is born and you may not remember as much about the birth.

Gas and air (also called Entonox) is available in both maternity and gynaecological units. You inhale it through a mouthpiece as soon as each contraction starts. It is very short acting and helps to take the edge off the pain, but doesn’t remove it completely. It can make you feel a bit sick and sleepy and it can also be tiring to use it for a long time.

In most hospitals, an epidural is available only to women who are cared for on the labour ward. An epidural is a local anaesthetic injected into your lower back. The needle is then removed and a very fine flexible tube is left in place so that the anaesthetic can be topped up when it starts to wear off. This usually removes all the pain.

You will usually have an intravenous drip in your arm and your blood pressure will be checked frequently. You may need a catheter (a small tube inserted into your bladder) if you are unable to pass urine.

You should be offered a chance to talk to a doctor who specialises in pain relief for labour.

9. What to take into hospital

The hospital may give you a list of things to bring with you when you return. You may want to bring in something special for your baby to wear or to be wrapped in after the birth, and a camera or a smartphone to take photos. You could also bring a soft toy or anything else you would like to place alongside your baby and maybe something in which to keep a lock of hair. All of these items will help you make memories of your baby and may become very precious to you in time.