A client delivers twins, one stillborn; the other is recovering in the NICU. The client softly cries, “I wish my baby could have lived.” Which nursing response is the most supportive?

• A. Don't be sad. You'll need to be strong to care for your healthy baby.
• B. Do you want to go to the nursery and see your baby?
• C. I am sorry for your loss. Do you want to talk about it?
• D. It is always sad to lose a baby. Would you like me to call your minister?

Answer: (C)

When supporting a patient who has experienced perinatal loss, the essential skill is validating the grief and inviting the patient to share more if they wish. The most supportive response expresses genuine condolences and opens the door for the patient to talk about what she’s feeling, without rushing her or minimizing the loss. Saying, “I am sorry for your loss. Do you want to talk about it?” acknowledges the pain she’s expressing and gives her control over whether to disclose more, which can be comforting and healing in the moment.

Other approaches can be less helpful in this situation. Telling her not to be sad or to be strong can pressure her to suppress her emotions. Suggesting a visit to the nursery or offering to arrange spiritual support without first acknowledging her grief can feel intrusive or premature. The focus should first be on empathetic listening and validation, then on offering options for support, rather than assuming what she needs.