The Purple Butterfly: A Silent Symbol of Loss and Love in Neonatal Care

In neonatal intensive care units (NICUs) worldwide, a small purple butterfly sticker affixed to an incubator carries a profound message: it signifies that the baby inside was part of a multiple pregnancy, but one or more of their siblings did not survive.

The Origin of the Symbol
The Purple Butterfly Project was initiated by Millie Smith and Lewis Cann in the United Kingdom after they experienced the loss of one of their twin daughters, Skye, who passed away shortly after birth due to anencephaly. Their surviving twin, Callie, remained in the NICU, and the couple found it emotionally taxing to repeatedly explain their loss to unaware staff and visitors. This led to the creation of the purple butterfly symbol to discreetly inform others of their bereavement.

A Global Movement
Since its inception, the Purple Butterfly Project has been adopted by hospitals around the world, including Nationwide Children’s Hospital in the United States and various institutions in Australia through the Miracle Babies Foundation. The symbol serves as a gentle reminder to staff and visitors to approach families with empathy and understanding, acknowledging their unique grief.


Supporting Families Through Loss
Healthcare providers have embraced the initiative as a means to offer compassionate care to families dealing with the complex emotions of losing a child while caring for a surviving sibling. Training programs and resources have been developed to educate staff on the significance of the purple butterfly, ensuring that families receive the support they need during such a challenging time.

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