Listening, over and over and over and

On what it means to receive the same story – for the teller and for me

By Dr. Abby Jorgensen

When I’m working with a family who is experiencing or has experienced a loss, I often will spend time listening to them as they tell me important parts of their story. Sometimes, it’s the first time they’ve ever told anyone the story. Sometimes, the story details what happened that morning, and sometimes, it’s a history from decades ago that has remained hidden for far too long.

One common pattern I see is that sometimes, a person who is struggling to make sense of a particular moment or interaction will repeat that story over and over again. Sometimes I’ve counted as many as five or six retellings, in the same conversation, of exactly the same story. The person often doesn’t realize that they’re going back over the same conversational ground. Sometimes there are different inflections in the story, different elements that appear. But the plotline and major characters are the same.

Sometimes the story is one of sadness (the moment a child took their last breath). Sometimes the story is one of naive joy (the moment she discovered that the pregnancy test was positive and thought everything would be alright). Sometimes the story is one of deep anger (the moment a provider uncompassionately shared the news that the fetus had died).

And the story comes spilling out, and does again, and then another time.

Believe it or not, this conversation pattern is very normal. This isn’t even something I worry about, so long as the person seems to be safe and capable of keeping those around them safe. Often times, when they’ve told me the story two or three times, I’ll even invite it the next time they mention that moment — “Could you tell me about that again? That moment seems so impactful for you.”

Some people might experience listening to this retelling as boring, tiresome, or burdensome. And there is some truth to this — what I think the person is often longing for is a way for the story to end appropriately, for the plotline to finish in a place that makes sense. I can’t give them that. It’s hard to be reminded, over and over and over again, that you can’t actually solve the crushing problem the person is telling you about. It’s grating to keep hearing a message that you’ll never be able to fix a thing you keep hearing about, no matter what you do. Taking on that burden, again, and again, and again, and again, is a sacrifice of mental stimulation in conversation in honor of helping a person carrying the heavy burden that moment places upon them.

So, listening to the story allows us to help the other person feel less alone. But also, it can give someone the chance to share their child with another person — the child whose public image may never have materialized, who may remain unknown to most of the community. And even further, through listening and attending to the nuanced differences, I can validate different emotions that may arise as someone walks back through the story with slightly different foci each time.

But most of all, listening to this story is an ever-expanding gift.

Each time you listen to that story, you give an even larger gift of hearing someone who has not been heard, of receiving something the giver does not yet understand. This is why I call listening to the same story over and over again the “ever-expanding gift.” I deeply believe that creating a conversational space for the release of the story and the emotions behind it, bit by little tiny bit, becomes more impactful the more we do it for that particular story.

Support people of many kinds are entrusted with stories. While our conversational norms might lead us to expect that we will hear a story once (maybe twice, if the teller has forgotten they’ve already shared it with us), in reality grief stories can be replayed and reiterated and reshared. Next time you are the recipient of these stories, I hope you can identify yourself as the giver of an ever-expanding gift with each iteration of the story you receive, hold, and cherish.

Photo by Erol Ahmed on Unsplash

Prepared Presence 2024

If you’re a birthworker looking for strategies to talk more about loss on your online presence,

We’ve got you.

Come join our free 5-day mini course, Prepared Presence 2024, September 16-20. Each day, you’ll get access to a short video with instructions for a 10-minute activity designed to help make your online presence more welcoming and supportive of loss families.

Join us for free here!

How to add a funeral home to your resource list

One of the most helpful resources for many families is their local funeral home. I’ve made you a guide for how to get in touch with your local funeral home and find out what resources they offer. 

Step 1: look up the legal requirements for funeral home involvement.
There are usually state or federal requirements for at what gestational age a funeral home legally must be involved in order for families to have access to their little one’s remains. Do an internet search for key terms such as “legal requirement funeral home fetal remains [insert your country or state here]” to learn what those requirements are for the families you serve.

Step 2: look up what funeral homes serve folks in your area.
This is usually pretty easy to find from an internet search.

Step 3: scan their websites for any mention of perinatal loss.
Most funeral homes don’t post about perinatal loss, even if they have extra resources specifically for families facing the loss of a child. 

Step 4: call or email each funeral home to ask about resources in cases of perinatal loss.

Here is a script for you: 
“Hi, my name is Abby, and I’m a birth doula here in (state your town or neighborhood). I’m working on a resource list for families who experience miscarriage, stillbirth, or infant loss, and I wanted to ask what kinds of services or resources you have for families in that situation.” And if it’s an email, you can end with: “Thank you for your help!” 

Some resources you might expect to hear about would include miscarriage burial/cremation options (i.e., options for when a baby’s body is very small or is not identifiable), liaison services with the local hospitals (which are legally required in some states at certain gestational ages), financial support for families in paying for funerals (either from the funeral home or from local partners), and local cemeteries or other place of burial available for babies. 

You may want to ask specifically about past experiences the funeral home staff has had supporting families through perinatal loss. In my experience, almost every funeral home I’ve worked with has been compassionate and tender, but some have been more informed about perinatal loss than others. 

Step 5: record what resources are available so you know and can communicate them to families as needed. 

***

I know that this type of resource-gathering is new for a lot of folks. I hope this guide makes it a bit less intimidating. Let me know how it goes!

-Abby

5 reasons why every doula should strengthen their bereavement support skills

Not every doula should become a bereavement doula.

But you should strengthen your bereavement support skills anyway.

Here are five reasons why:

  1. You’re going to support families through bereavement, whether you want to or not. If you do this work long enough, you are going to encounter miscarriage, stillbirth, or infant loss. For some of us, it’s at our first birth. For others, it’s our one hundredth birth. But perinatal loss is the reality that many families face, so as a doula, it’s only a matter of time before you will face it as well.
  2. If you’re going to provide bereavement support, it’s important to do it well. We can do a lot of damage when we guess or pretend we know things. That’s true in any support role; it may be especially true when we support someone through grief.
  3. Families who have experienced a loss previously may be looking for a doula – and you can demonstrate your commitment to them and other loss families through your grief-informed practice. Families expecting after a loss may specifically seek someone who has an idea of what they’ve gone through – and is ready and willing to help them with the emotions, difficulties, and joys of a rainbow pregnancy.
  4. You’re most ready to support a family through a loss or after a loss if you’ve prepared for it. That means that ideally we all strengthen our bereavement skills BEFORE we need them. Level up your grief defaults by taking a Basics of Bereavement Support class, or a Caring for Clients through Loss class, BEFORE you need to have already taken it. (These are accredited for continuing education hours through DONA International, so they can also help you prepare for recertification.)
  5. Bereavement support skills apply in any situation of loss, not just the loss of a little one. If someone has a kind of birth they didn’t want, or loses a loved one or coworker during pregnancy, or experiences a life change they weren’t expecting, your bereavement support skills will be immediately applicable and helpful.

Don’t delay on strengthening your instincts and expanding your toolkit. Join us in one of our HCBD Haven Certified Bereavement Doula trainings, or sign up for free tips through our newsletter, today.

Talking about loss on social media

As a birthworker, you know that social media is an important part of reaching folks and letting them know what you’re about. But you also know that creating content is a long and tiring process, especially when the content matter is sensitive.

Grief and loss are some of the hardest topics to talk about, especially in spaces such as social media. But, if you want to demonstrate your support of loss families, grief and loss *need* to show up somewhere on your grid or in your feed.

I’ve made two sets of templates to help you post about these difficult but necessary topics. The 2024 Social Media Template includes 34 posts for specific days, weeks, and months throughout the year (all of which can be simply updated with new dates and used again for future years). The October Social Media Template includes 31 posts, one for each day of October (Pregnancy and Infant Loss Awareness Month).

What does it mean to be grief-informed?

“Grief-informed” is a term I use to capture two key elements of
someone’s approach toward other people.

(1) This person anticipates that every person in her or his care may have a history of grief and loss.

(2) This person chooses to speak and act in a way that reflects that possibility of grief and loss.

It can also be applied to an organization’s or group’s approach.

Being grief-informed may require a dramatic overhaul for many of us, as society has taught us to ignore, hide, or shy away from conversations about death (especially the death of a child and prenatal death). And at Haven Bereavement Doulas, we are committed to working together to continue that dramatic overhaul, for ourselves and for our communities.

To cite this page, please reference:

Jorgensen, Abigail. “What does it mean to be grief-informed?”. Bereavement Doulas (blog). January 12, 2024.

Mentorship opportunities

You’re not in this alone.

Whether you’re working toward an HCBD Haven Certified Bereavement Doula certification or not, our team is here to support you.

Looking for support with a bereavement case right now?

Let’s chat. This free, 15-minute consultation is designed to get you connected to the info and resources you need.

Considering taking your bereavement work to the next level?

Book a mentorship call with Dr. Jorgensen, or four calls, and we’ll work through your specific challenges together.