Interrupting Isolation

Compounded Grief

• Increased risk of pregnancy complications in observational samples during COVID-19
• Increased physical distancing due to vaccine restriction and/or hesitancy
• Interdependency of grief and trauma in individual lives and pandemic response
• Heightened experience of vulnerability

Compounded Isolation

• pandemic safety (esp. for pregnant/vaccine hesitant)
• medical system access/stress
• physical AND social distance
• stigma
• moral sanction
• legal sanction

Strengths-Based Strategies

• Interpersonal: Assume loss is present
• Familial: Recognize role strain
• Social/Cultural: Center relationship building; actively build networks of intentional community
• Policy/Legal: Confront and disrupt the social impact of public debate and the health and mental health impact of legislation limiting reproductive options

Moving Forward

• Create community based informal/formal support alliances
• Recognize prevalence of unmet mental health needs
• Co-locate health and mental health support services
• Disrupt political rhetoric by focusing on reproductive justice