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While the focus of this chapter is on perinatal loss, other reproductive losses including miscarriage, ectopic pregnancy, infertility, and pregnancy termination for fetal anomaly are briefly considered and contrasted.

Identifying Perinatal Grief Prior to the 1970s, the medical and psychological literature showed little awareness that perinatal loss caused substantial distress.

While 15–20% of all recognized pregnancies end in miscarriage, there may be an equally high number of subclinical early pregnancy losses that are typically experienced as a “late period” rather than as a miscarriage.

This chapter explores why pregnancy and newborn demise is such a difficult loss to endure, identifies the multiple ways it affects family members, and offers approaches to caregivers that might help deter lasting harm.

The growing recognition of the usually intense grief after perinatal loss culminated in the first major study of this death by Peppers and Knapp in 1980, followed by more than a dozen handbooks over the next decades directed at bereaved parents.Tools to aid in meeting these objectives include (1) improved and/or new sources of system flexibility to respond to and accommodate the increase in energy variability and uncertainty, (2) the development of additional transmission infrastructure to deliver energy from remote locations, and (3) planning and operational methods and software to effectively plan and operate the bulk system with these new resources, many of which may be at the distribution level.EPRI’s Bulk Power System Integration of Variable Generation (VG) research program addresses these needs and directly supports EPRI’s Research Imperatives #2 “Integration of Dynamic Customer Resources and Behavior” and #3 “Integrated Power System and Environmental Modeling Framework.” The Bulk Power System Variable Generation Integration research program provides variable generation integration analytics; development of planning and protection methods, tools, and models; and development of operator methods and tools to reliably and economically integrate wind and solar PV generation.This resulted in escalation of price rise of various commercial energy sources leading to worldwide inflation.Acknowledging this crisis very seriously, the idea of developing alternative sources of energy was felt essential.Installed capacity of renewable energy have increased significantly over the last decade due to policy decisions such as state-mandated renewable energy standards and federal air and water standards, along with improved economic viability for these resources.