The Scottish Mail on Sunday

Mothers feel guilt – and anger

- By Dr Ellie Cannon

ALTHOUGH one in five confirmed pregnancie­s ends in miscarriag­e, it usually happens in the first three months. Late miscarriag­es are far more unusual and devastatin­g, as Tessa’s story proves.

They can occur for any number of reasons – for example, if the mother has a chronic condition such as diabetes or heart disease, an infection, food poisoning or a structural problem within the womb. It is more common in multiple pregnancie­s.

And it is, as Tessa implies in her heartbreak­ing confession, more common in women having babies over the age of 40.

Close care and monitoring of at-risk mothers can help to prevent tragedy, but sadly, even with specialise­d care, some babies are lost.

After a late miscarriag­e, it should be possible to identify what has gone wrong to help parents understand, and also to try to ensure it is avoided for a further pregnancy. Understand­ably after such a traumatic event, couples can find it hard to consider going through another pregnancy and need support both medically and emotionall­y to do that. The grieving process will take time and patience.

Mothers who miscarry feel guilty, angry and very shocked. This is often compounded by investigat­ions into the loss, as the baby may even require a post-mortem.

NHS counsellin­g services, the Miscarriag­e Associatio­n (miscarriag­eassociati­on.org.uk), and Sands (uk-sands.org) offer all women the chance to talk about their loss. This is a valuable part of the healing process.

Hospital chapels also offer memorial services for parents who have lost babies to late miscarriag­e, and these services can be a great comfort too.

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