title: Postadoptive reactions of the relinquishing mother: a review.
abstract: OBJECTIVE
  To review the literature addressing the process of relinquishment as it relates to the birth mother.
  
  
  METHODS
  Computerized searches in CINAHL; Article 1 st, PsycFIRST, and SocioAbs databases, using the keywords adoption and relinquishment; and ancestral bibliographies.
  
  
  METHODS
  Articles from indexed journals in the English language relevant to the keywords were evaluated. No studies were located before 1978. Studies that sampled only an adolescent population were excluded. Twelve studies met the inclusion criteria and were included in the analysis.
  
  
  METHODS
  Data were extracted and information was organized under the following headings: grief reaction, long-term effects, efforts to resolve, and influences on the relinquishment experience.
  
  
  RESULTS
  A grief reaction unique to the relinquishing mother was identified. Although this reaction consists of features characteristic of the normal grief reaction, these features persist and often lead to chronic, unresolved grief.
  
  
  CONCLUSIONS
  The relinquishing mother is at risk for long-term physical, psychologic, and social repercussions. Although interventions have been proposed, little is known about their effectiveness in preventing or alleviating these repercussions.
authors.affiliation: Deer Valley OB/GYN, Mesa, AZ, USA.
authors.forename: H A
authors.initials: HA
authors.lastname: Askren
authors.forename: K C
authors.initials: KC
authors.lastname: Bloom
mesh_terms: D000300:Adoption / Q000523:psychology*; D019052:Depression, Postpartum; D005260:Female; D006117:Grief; D006801:Humans; D009035:Mothers / Q000523:psychology*; D009773:Obstetric Nursing; D011247:Pregnancy