Psychological Problems After
Miscarriage More Common Than Once Thought

A miscarriage may be a natural occurrence, but it is a sad experience for a couple.   People's reactions differ widely.  But more and more it is being understood that losing a pregnancy can cause a woman real grief.  Support from friends, family members, and medical staffs matters a great deal, and can help a woman or a couple through a difficult time.

Clear and accurate information about causes of miscarriage may keep a woman from worrying that she is in some way responsible for the miscarriage.  In 30 to 40% of cases, there is no medical explanation for what went wrong.  Self-doubt or self-blame quickly fill a vacuum of information.  Psychological problems don't cause miscarriage - even though psychological problems can certainly result from miscarriages.   Psychological problems or genetic errors may be the cause.  The rate of miscarriage also increases as a woman ages.

Research on this subject has shown that just the simple act of talking about the experience can be very beneficial.  A woman needs to understand that it is very normal to feel sad after a miscarriage, even the same kind of sense of loss people have after the death of a family member.  Women who are experiencing more extreme problems coping with miscarriage may want to request a referral to a counselor or psychologist who is trained in reproductive health issues.  In any of the following cases, further counseling might be advisable:

  • if a woman feels she needs it
  • if she is having trouble getting through the day
  • if she and her husband are experiencing difficulty with their marriage
  • in cases of persistent mood disturbances
  • if she feels she is not getting enough support from people close to her

Adding miscarriage to infertility can cause cumulative stress to a couple.   Healing the emotional side effects of a miscarriage may make it easier for a couple to continue their infertility treatment later on.

Members of a family may view the experience from very different perspectives.  A woman may be more devastated than her husband by the miscarriage because she is closer physically and perhaps emotionally to the experience.  Likewise, if there are already children in the family, they will probably have their own unique view of this loss.   An adult may be able to come to grips with the idea that a miscarriage early in pregnancy is common.  But a little child hoping for a brother or sister will just feel very alone.

A woman who miscarries is likely to need social as well as medical care.  A support group may be able to offer some comfort.  And if a woman feels she needs counseling or antidepressants, she should feel free to make her needs known to her physician.


Last update July 2004

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