Reconciling cultural conflicts: Asian American parent responses to perinatal loss

Perinatal loss is a frequently underacknowledged bereavement experience with profound consequences, especially for Asian American families navigating conflicting cultural expectations. This qualitative descriptive study aims to explore Asian American couples' experiences with and responses to perinatal loss. Semi-structured interviews from seven participants representing six Asian American families were transcribed, coded, and thematically analyzed by two investigators. Three domains, four overlapping themes, and nine subthemes emerged. In the domain of External Influences, Sociocultural Context dictated norms and acceptable behaviors and practices. Within the domain of Individualized Parental Responses, Perinatal Parenting and Coping with Loss drove parental actions. At times, these responses conflicted with Sociocultural Context, resulting in the domain, Areas of Conflict. Parents were then tasked with Reconciling Conflicts, where parents found solace through decision making, supportive communities, and continued relationships with their lost infants. We offer recommendations for supporting Asian American families who are navigating the complexities of perinatal loss.