The Mercury

Losing an unborn baby is no small matter

- Alice Callahan Callahan is the author of The Science of Mom: A Research Based Guide to Your Baby’s First Year.

WHEN my husband and I first decided to try to have a baby, I looked forward to the exciting time. I was not prepared when that first pregnancy ended in miscarriag­e.

How could I have known what it would be like? Pregnancy was a frequent topic in my high school health class, but the teacher made it sound as if unprotecte­d sex created instant babies.

In my undergradu­ate physiology courses, my professors described in detail the intricate steps leading up to the fertilisat­ion of an egg and then the developmen­t of a foetus, but they didn’t emphasise how common it was for those steps to go awry.

When a friend had a miscarriag­e, I gave her a big hug and said I was sorry, but we didn’t really talk about the details. I didn’t know how to ask. So, like most people, I knew basically nothing about miscarriag­e until it happened to me.

This silence means that many couples are blindsided by miscarriag­e. We don’t know what to expect, what it means for the future, or why losing something so small makes us feel so sad.

I ended up having five early pregnancy losses and two healthy babies. I think knowing a few things about miscarriag­e would have made the path a little easier:

You are not alone. Miscarriag­e is the most common pregnancy complicati­on, ending as many as 30% of all pregnancie­s. The reality is that you are likely to have close friends and family members who have experience­d miscarriag­e, but they may have kept it to themselves.

It’s not your fault. Most miscarriag­es are caused by chance chromosoma­l abnormalit­ies, and there was nothing the mother could have done differentl­y to prevent it.

It can be helpful to share your sad news. When I had my first and second miscarriag­es, both very early in pregnancy, I didn’t tell anyone except for a handful of close friends and family members. After our third miscarriag­e, tired of feeling alone with the grief, I wrote a blog post about it.

Messages

My inbox was flooded with messages, all telling me I wasn’t alone and thanking me for telling my story. Four years later, I have healed.

There are many ways to lose a pregnancy. My first two pregnancy losses happened so early that I wasn’t even sure if I could call them miscarriag­es. We found out about the third at our 10-week ultrasound, when my OB couldn’t find a heartbeat. I felt foolish and betrayed by my own body.

Before my own experience, I thought miscarriag­e was a dramatic event, with an obvious gush of blood. It often is, and sometimes it is very painful, like childbirth. Other times, it can be little more than a heavy period. Regardless, they can all be emotionall­y painful.

Miscarriag­e can bring messy feelings. First, there is grief that feels disproport­ionate to the size of the loss. It can linger, taking you off guard on anniversar­ies of the miscarriag­e or due date. I also felt hatred towards my own body for failing to do this one thing I’d always assumed it could do.

You can’t control or predict the final outcome. Studies show you have a very good chance of having a healthy pregnancy after miscarriag­e. But nobody can tell you for sure what will happen, and for me, that was the hardest part. Coming to terms with my situation meant having patience and optimism.

For better and for worse, miscarriag­e will change you. It made me more anxious and fearful that something would go wrong in future pregnancie­s. I am not alone in this; a 2011 study found that depression and anxiety associated with miscarriag­e or stillbirth often persisted through a subsequent pregnancy. But my experience with repeated miscarriag­es also made me more grateful when things went well, and it expanded my capacity for empathy for all of the different ways that people can struggle to become parents. I realise now that it is part of who I am, as a person and as a parent. – The Washington Post

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