Grief Following Miscarriage: A Comprehensive Review of the Literature

Department of Psychiatry and Pediatrics, Albert Einstein College of Medicine of Yeshiva University, Children's Evaluation and Rehabilitation Center, Bronx, New York 10461, USA.
Journal of Women's Health (Impact Factor: 1.9). 05/2008; 17(3):451-64. DOI: 10.1089/jwh.2007.0505
Source: PubMed

ABSTRACT The literature exploring the relationship between miscarriage and grief is sparse. This paper summarizes the literature on grief subsequent to an early miscarriage to elucidate the nature, incidence, intensity, and duration of grief at this time and to identify potential moderators.
An electronic search of the Medline and Psych Info databases was conducted. Studies were selected for inclusion if they related to early miscarriage, used a standardized measure to assess perinatal grief, and specified the assessment intervals employed. Qualitative studies were included when helpful to develop hypotheses.
Descriptions of grief following miscarriage are highly variable but tend to match descriptions of grief used to characterize other types of significant losses. A sizable percentage of women seem to experience a grief reaction, with the actual incidence of grief unclear. Suggestively, grief, when present, seems to be similar in intensity to grief after other types of major losses and is significantly less intense by about 6 months. Few conclusions can be drawn in regard to potential moderators of grief following a miscarriage.
Although additional research is clearly needed, guidelines for coping with grief following miscarriage can be based on the data available on coping with other significant types of losses. Given the range of potential meanings for this primarily prospective and symbolic loss, practitioners need to encourage patients to articulate the specific nature of their loss and assist in helping them concretize the experience.

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    • "A small number of respondents perceived medical care as cool and incomplete, they also felt lonely. Although the loss of a baby usually evokes in a woman helplessness, sadness and grief (Nikcevic et al. 1998; Brier 2008). Kelley and Trinidad (2012) presented in their studies the experience of still birth from the perspective of parents and physicians . "
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    The Tohoku Journal of Experimental Medicine 03/2014; 232(3):155-62. DOI:10.1620/tjem.232.155 · 1.28 Impact Factor
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    • "Midwifery Geller et al., 2004; Lok and Neugebauer, 2007; Brier, 2008; Mann et al., 2008 "
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    Midwifery 01/2013; 30(6). DOI:10.1016/j.midw.2013.12.011 · 1.71 Impact Factor
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    • "Mourning for the lost role as a mother to the expected child is also part of the experience. The adaption to becoming a mother sometime starts even before conception, and the transition to the unexpected state is painful [15] [16] [17]. The dead baby seem not to be a reality for the mothers as long as it is still part of her body and she is unable to see it or touch it. "
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    Sexual & reproductive healthcare: official journal of the Swedish Association of Midwives 04/2011; 2(2):51-5. DOI:10.1016/j.srhc.2011.02.002 · 1.25 Impact Factor
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