Fetal loss through miscarriage or termination of pregnancy for genetic
reasons often provokes the grief of bereavement. This is not fully un
derstood, and the extent of the distress is often underestimated by pr
ofessionals and family alike. We have examined elements of the normal
bereavement process and have found that they may occur in specific and
accentuated forms in mid-trimester fetal loss. We discuss our finding
s in the light of the attachment theory-a psychodynamic model for unde
rstanding grief reactions.