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Miscarriage

Sharing the pain of miscarriage

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Rachel looks into the camera, her eyes red and puffy. Tears roll down her cheeks as she wails, “I just can’t get the doctor’s words out of my head: ‘This pregnancy is not progressing. There is no heartbeat.’”

… she was told that, at 14 weeks, her baby had died.

The nine-minute, 51-second video is a very honest and emotional account of Rachel’s experience of her miscarriage, starting with the ultrasound when she heard the bad news, to her appointment with the gynecologist … and then the waiting period until she miscarried naturally.

… “It’s very difficult – I just want to share it and explain a little bit of what I’m going through.

… “It’s so raw,” she says. “But I know women can relate to it, so I’m happy that I can help them.”

… “Around one in four pregnancies ends in a loss, and one in 10 babies is born prematurely, often needing intensive care on a life support system,” …

… It’s all part of National Pregnancy Loss Awareness Month, which aims to shed light on a range of topics that can be difficult to discuss.

… Another couple … say talking about the trauma of miscarriage helped them …

“We went to the obstetrician appointment all excited to get the first photo and have the first glimpse and details about the baby,” … “When we got in there the obstetrician was scanning around my wife’s stomach and he said ‘oh … there’s nothing there, there’s no heartbeat’.

“It’s the last thing you expect, and we were both in shock … ”

… Tony admits that people don’t like to talk about miscarriage, but he has found that being open and upfront about the topic has helped.

… “speak to people who have an understanding of what you’re going through … You feel a million of those thoughts – should I have not gone to work that day? did I lift something wrong? is there some way I could have prevented what happened? …

I have written two articles on miscarriage in the hope that they might help women who have experienced miscarriage, and those who support and care for them:
Women’s experience of miscarriage
Advice on coping with a miscarriage

Pregnancy Loss Leaves Behind Years Of Grief For Parents

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The loss of a pregnancy can have a devastating effect on parents. Many couples immediately try again and are successful, then imaging that the original pain and mental anguish will subside with the new life created. However, a new British study shows that women at least, continue to suffer from mental health problems associated with miscarriage or stillbirth long after they may feel they’ve “moved on.” To the contrary, women may continue to experience symptoms for several years after the postnatal period.

… women who had lost a baby in the past experienced significantly higher levels of anxiety and depression during pregnancy and this continued nearly three years after they gave birth to a healthy baby.

… although a woman physically recovers from a miscarriage quickly, psychological recovery for parents in general can take a long time. People differ greatly in this regard, meaning that some are able to move on after a few months, but others take more than a year. Still others may feel relief or other less negative emotions … 55% of the miscarrying women presented with significant psychological distress immediately, 25% at 3 months; 18% at 6 months, and 11% at 1 year after miscarriage.

For those who do go through a process of grief, it is often as if a baby had been born but died. How short a time the fetus lived in the womb may not matter for the feeling of loss. From the moment pregnancy is discovered, the parents can start to bond with the embryo or fetus. When the pregnancy turns out not to be viable, dreams, fantasies and plans for the future are roughly disturbed.

A woman’s chance of miscarriage increases with her age. With increasing age, it not only becomes more difficult for a woman to get pregnant but to stay pregnant as outlined below:

* In women ages 15 to 35, the incidence of miscarriage is between 10% and 12%
* In women ages 35 to 39, the incidence of miscarriage is 18%
* In women ages 40 to 44, the incidence of miscarriage is 33%
* In women ages 45-plus, the incidence of miscarriage is greater than 50%

Most miscarriages are the result of a random genetic abnormality. It is generally accepted that the earlier the loss, the greater the likelihood that the pregnancy was genetically abnormal in some way …

To find out more about the services I offer, please visit my website or call me on 0400 418 448.

Infertile Couples Encouraged To Look At Lifestyle

For further information on preconception care, contact Melissa Maimann at Essential Birth Consulting.

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A … study has recommended that infertile couples seek advice about their lifestyle before embarking on IVF treatment or other assisted reproductive technology.

… while most people link obesity, smoking, drugs and stress to infertility problems, many infertile couples fail to look at their own lifestyle as a possible obstacle to conceiving.

… only half of the overweight women in this study considered their own weight to be a risk factor for infertility.

overweight women are also at risk of pregnancy complications such as miscarriage, gestational diabetes and raised blood pressure.

… The study underlines the importance of good preconception advice and support …

Melissa Maimann, Essential Birth Consulting 0400 418 448

Complications Early In Pregnancy Or In Previous Pregnancies Adversely Affect Existing Or Subsequent Pregnancies

For further information, contact Melissa Maimann at Essential Birth Consulting.

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Complications in early pregnancy or in previous pregnancies can predict the likelihood of further problems in current or subsequent pregnancies …

Improving care for pregnant women and their babies is of particular importance in countries such as The Netherlands where perinatal mortality is a cause for concern. The Netherlands has a perinatal mortality rate of 9.8 per 1000 (2006 figures) – the second highest rate in Europe [1].

… “There were several interesting findings. To name two: firstly, we found that after any first trimester complication or event, the risk of preterm or very preterm delivery is increased in the subsequent or ongoing pregnancy; secondly, we found that increased risks of adverse obstetric outcome are, in all cases, related to the severity or recurrence, or both, of the first trimester complication or event. To our knowledge, this is the first comprehensive review in which the impact of more than one first trimester complication on adverse obstetric outcome has been investigated systematically.”

The researchers found that a history of one or more miscarriages nearly doubled the risk in an ongoing pregnancy of preterm premature rupture of the membrane that surrounds the baby in the womb, and increased the risk of premature or very premature delivery (earlier than 37 or 34 weeks respectively). Recurrent miscarriages (three or more miscarriages) increased the risk in a subsequent pregnancy of all of these conditions; in addition, it increased the risk of placenta praevia (where the placenta partially or completely blocks the cervix) six-fold and congenital malformations nearly two-fold. If a previous pregnancy had to be terminated for any reason, this increased the risk of premature rupture of the membrane, premature and very premature delivery in subsequent pregnancies.

… vaginal bleeding in the first trimester increased the risk of preeclampsia, premature or very premature delivery and more than doubled the risk of low birth weight …

… “While it is true that most conditions are difficult to prevent, with improved monitoring in high risk pregnancies it is possible to reduce perinatal or postnatal foetal complications.

Melissa Maimann, Essential Birth Consulting 0400 418 448

Women’s Experience of Miscarriage

As published on the Essential Baby website http://www.essentialbaby.com.au/parenting/pregnancy/womens-experience-of-miscarriage-20081111-5m5v.html?page=-1

  • November 11, 2008

 
For further information, contact Melissa Maimann at Essential Birth Consulting.

The experience of miscarriage is often misunderstood by women’s friends, families and the medical community, causing feelings of isolation, frustration and fear.

When Essential Baby asked me to write an article on miscarriage, I found several resources that addressed the medical side of miscarriage, but few resources that explored the emotional issues. In this article, I will not elaborate on the medical issues surrounding miscarriage: whether a woman has a 1% chance of miscarriage or a 50% chance of miscarriage is of little consequence when she has just discovered there is no heart beat. What she really needs in that moment is an empathic ear, validation of her experience, to be listened to and to be treated with compassion.

The emotional experience of miscarriage
Miscarriage can be a frightening and lonely experience. Your loss might have been so sudden that there was no way to prepare for it.  Or you might have suspected for a while that something was wrong. Or you may not have wanted to admit that this pregnancy just felt different to your others.   

Whatever your circumstances, there are many emotions surrounding miscarriage such as disbelief, anger, shock, confusion and a deep sense of loss and grief. These feelings come and go, with different intensities. You have some good days and some bad days.  But whatever your experience, you are not alone!

After a miscarriage, you grieve for a baby you never knew, and for a relationship that will never be. Your baby is a baby from the moment you find out you are pregnant. You grieve for the experiences you will not have – discovering what your baby looks like, what sort of personality she has, or how it feels to cuddle him. As Lia, an Essential Baby member found, “To us, this is a loss of life.  A life that was very much wanted, even if not planned. Women have already developed a bond with their baby, they’ve made plans, got hopes and dreams, just like any other new or expectant [mother].”

Women react differently to the experience of miscarriage. You might accept what has happened and look at it philosophically, or you might feel devastated. You might be feeling numb and be in denial that it has happened. Or you might feel guilty because you were unsure if you wanted to be pregnant, or you had a drink or smoked a cigarette. There is no wrong or right way to grieve.

Physically, you might be constantly tired, yet have difficulty sleeping. Some women cannot eat, while others eat constantly, trying to numb their raging emotions. 

For Nicole, an Essential Baby member, “the breaking point was when I found out it was a girl and that there was no obvious reason for her not making it.” Rebecca feels that “I don’t think that I will ever heal.” Miscarriage is such a profound experience and women deal with it in many different ways. “I just wanted to be pregnant straight away, to take away the pain,” Donna, Essential Baby member.

In contrast, Debra says, “I don’t think I really grieved that much. Perhaps deep down I knew it was going to happen. All my dreams had gone out the window and then I started to think of all the things I did that could have caused the miscarriage. We fell pregnant again… I didn’t feel confident from day one although I tried to tell myself everything was ok. I started bleeding at 6 weeks and knew it was all over again. I was much more upset this time. I cried and cried and cried. The first time it happened, I thought, we can do it again, it’s ok. The second time, I thought, so we can conceive, what if I’m never able to carry full term?”

Women who experience miscarriage and then go on to have pregnancies to full term often experience the pregnancy with disbelief and a lack of attachment to their baby. It wasn’t until about seven months that I admitted to myself I may be having a baby and started enjoying the experience. The innocence of a pregnancy is gone, at least until [you] and are safely past that week [that you lost your baby].

Men and miscarriage
Men and women grieve differently and each person’s emotions can seem foreign to each other. Some feel that their partner does not understand them and this can be hurtful and isolating. For some men, the dominant emotion is powerlessness ‘ they feel powerless to protect their partner and powerless over the events that have taken place. What can happen when someone feels powerless is that they sometimes react with anger and withdrawal.

Lia’s husband felt that the emphasis is placed on the woman, whereas men grieve too: “they were his babies that were gone!” Lia’s husband felt helpless watching her go through that pain. “No-one really acknowledged how badly he was affected.”

Melissa Maimann, Essential Birth Consulting.