Perinatal death is a crisis which if dealt with successfully can result in growth and new direction for the grieving parents. The problem which makes this bereavement unique is that friends and family, usually supportive in times of grief, have difficulty identifying with the loss of a newborn. They often don't know what to do or say, or how to help the parents. There are no wake, no flowers and no memories to share. Since the usual supports are less available, it is incumbent on the health professional to intervene in this, one of the loneliest of losses.