Just cry out and start over. This often appears to be the general tenor of miscarriage reactions, which can be seen from an analysis in The Lancet. Miscarriages are perceived as inevitable, but that is unjustified and does not justice to the grief of women it befalls.
Worldwide, one in seven pregnancies ends prematurely, according to the analysis of 4.6 million miscarriages. Of all women, at least 11 percent experience at least one miscarriage; 2 percent happens twice and 1 percent even three times or more. The researchers suspect that the actual numbers are much higher, because far from all miscarriages are recorded.
Although miscarriage can affect all pregnant women and can not be prevented, there are factors that increase the risk. These include smoking, alcohol consumption, severe overweight or underweight, a relatively high or low age of the mother (40+ and 20-), a relatively old father (40+), long working days or night shifts, stress and air pollution.
It is also noteworthy that black women are 43 percent more at risk than average. This is possible because they suffer more often from type 2 diabetes and heart disease.
Although miscarriages occur so frequently — 23 million times a year worldwide, researchers estimate — women often receive little support after that violent event. They often process the loss in silence, sometimes with unjustified self-reproaches. For example, it is mistakenly believed that a miscarriage may have been caused by the use of the pill or by lifting something heavy.
Researchers therefore recommend improving guidance. Now women are often simply told that they should try to conceive again, while a different lifestyle can reduce the likelihood of miscarriage. Also, in some women who have had miscarriage, progesterone treatment may reduce the likelihood of recurrence.
Truly a loss
Who has suffered a miscarriage more often should be properly examined to find the cause. Now, according to the researchers, this happens far too little. “The lack of medical progress should shock us,” they say. “But instead, we just accept all these miscarriages.”
Mariëtte Godddijn, professor of Reproductive Medicine at the Amsterdam UMC, also says that there should be much more attention for miscarriages. “Doctors, nurses and midwives should acknowledge that it is really a loss, including for the partner.”
Where necessary, women should receive additional help after miscarriage, says Goddyin. Also, according to her, it is advisable to engage in a conversation about the lifestyle if necessary, in order to reduce the likelihood of recurrence.