SAN DIEGO – The Institute of Reproductive Grief Care, the global leader in reproductive grief care, research and education, today announced its contribution in the newly published and long-awaited textbook Principles of Neonatology.

For more than two years, the Institute worked closely with the lead author, Dr. Akhil Maheshwari, Editor-In-Chief of Newborn, the official Journal of the Global Newborn Society, who sought the Institute’s input on his ambitious project of publishing the most comprehensive textbook to date in the field of neonatology.

Written by leading global experts in the field, including the Institute, Principles of Neonatology provides neonatal intensive care units (NICU) with clinically focused, evidence-based guidance in an easy-to-access format.

“The invitation to contribute to this neonatology textbook is a critical milestone for the Institute and the validity of our work,” said Dr. Michaelene Fredenburg, President and CEO of the Institute. “Chapters on emotional care, placed alongside physical care, is the ultimate confirmation of the importance of our work as part of ‘whole person’ care after reproductive loss.”

Dr. Maheshwari recruited more than 200 experts from around the world to document his omnibus textbook of the most current evidence-based practices. Each chapter covers the key topics of greatest and most frequent concern to NICU clinicians, delivering current, data-driven management and treatment advice in a single source relevant to the seasoned practitioner, fellow or trainee.

Principles of Neonatology is not only a milestone in the field of neonatology, it’s also a milestone for the Institute as we seek the widespread adoption of a reproductive grief standard of care,” added Fredenburg.

The Institute team, which include staff and some Institute Healthcare Task Force members, wrote Chapter 87, “Caring for Families Who have Previously Endured Multiple Perinatal Losses,” which is included in Section 18, “Current State of Neonatal Palliative Care.”

As a result of the Institute’s contribution to these critical chapters, our President and CEO, Michaelene Fredenburg, was invited to also join an international group of healthcare executives in writing Chapter 101, “Leadership and Organizational Culture in Healthcare,” under Section 21, “Healthcare Leadership.”

“It was an honor to contribute to this critically important textbook,” added Fredenburg. “We hope that these chapters will help in making reproductive grief care a part of every NICU team’s expertise.”

Principles of Neonatologywas published by Elsevier and is available on their site.


We bring to light the widespread need for help that is faced by the millions impacted by miscarriage and other reproductive losses. We change the way that people think and talk about reproductive loss, and create traditions that focus on healing, remembrance and hope. We offer a safe place, for those impacted, to receive the support that they need in kindness and without judgement.


The Institute of Reproductive Grief Care is the global authority on reproductive grief care. It offers education, research, expertise and support after reproductive loss without religious or political affiliation. Its goal is to accelerate the widespread adoption of a reproductive grief standard of care, bringing comfort and hope to millions who often grieve alone and in silence for years or decades.

The Institute’s online courses are accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation. The Institute of Reproductive Grief Care is approved by the California Board of Registered Nursing, Provider #17434. It is also approved by the National Association of Social Workers (NASW) and the California Association of Marriage and Family Therapists (CAMFT) to sponsor continuing education for LMFTs, LCSWs, LPCCs, and LEPs. We maintain responsibility for our program and its content. The Institute also certifies healthcare professionals and others in reproductive grief care.

The Institute offers booksmemorial items, and other healing resources directly to those affected, including the “Forget Me Not Signature Collection” of sympathy cards, jewelry and comfort boxes. The national campaign, promoting the “Forget Me Not” flower as a symbol of reproductive loss remembrance, won the grand prize of “Nonprofit Communications Campaign of the Year” by Public Relations Daily in 2022. All Institute proceeds from sales of “Forget Me Not” items go directly to helping those impacted. The Institute is a 501(c)(3) nonprofit. For more information, see the Institute’s introductory video and visit