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Cited by 302Grief, Bereavement, and Mental HealthMaternal Mental Health During Pregnancy and PostpartumMaternal and Perinatal Health Interventions

Psychological morbidity following miscarriage

Lok, Ingrid H., Neugebauer, Richard·2007·Best Practice & Research Clinical Obstetrics & Gynaecology
DOI 10.1016/j.bpobgyn.2006.11.007
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Abstract

Emerging evidence has suggested that miscarriage could be associated with significant and possibly enduring psychological consequences. As many as 50% of miscarrying women suffer some form of psychological morbidity in the weeks and months after loss. About 40% of miscarrying women were found to be suffering from symptoms of grief shortly after miscarriage, and pathological grief can follow. Elevated anxiety and depressive symptoms are common, and major depressive disorder has been reported in 10-50% after miscarriage. Psychological symptoms could persist for 6 months to 1 year after miscarriage. The underlying risk factors predisposing a miscarrying woman to psychological morbidity include a history of psychiatric illness, childlessness, lack of social support or poor marital adjustment, prior pregnancy loss, and ambivalence toward the fetus. In addition, care-givers should be aware of the possible moderating effect of clinical practices such as surgical treatment and ultrasound findings on the psychological impact on a miscarrying woman. Unlike in postpartum depression, simple and effective screening measures of psychological morbidity in the context of miscarriage have not been well established. While studies have highlighted that psychological follow-up was highly desired by miscarrying women, and that psychological intervention was potentially beneficial, there is a substantial lack of randomized controlled intervention studies in this area.

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Crossref · 10.1016/j.bpobgyn.2006.11.007

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  • Quantitative studies comparing grief responses of fathers and mothers after perinatal loss found lower levels of grief intensity in fathers.

    “A number of quantitative studies compared the grief responses of fathers and mothers after perinatal loss and found lower levels of grief intensity in the fathers.45-50”

    From Complicated grief after perinatal loss (2012) · cites this paper as [46]

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Authors
Lok, I. H., & Neugebauer, R.
Affiliations
  • Chinese University of Hong Kong (HK)
  • New York State Psychiatric Institute (US)
Corresponding author
Lok, Ingrid H.
Venue
Best Practice & Research Clinical Obstetrics & Gynaecology
Publisher
Elsevier BV
Published
2007-04
Volume
21
Issue
2
Pages
229-247
ISSN
1521-6934 (ISSN-L)
DOI
10.1016/j.bpobgyn.2006.11.007
OpenAlex
W2167519625
Cited by
302
References
88
Citations by year
2026: 12 · 2025: 18 · 2024: 13 · 2023: 35 · 2022: 19 · 2021: 17 · 2020: 20 · 2019: 16 · 2018: 14 · 2017: 19 · 2016: 15 · 2015: 18 · 2014: 20 · 2013: 14 · 2012: 15
FWCI
1.53
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Best Practice & Research Clinical Obstetrics & Gynaecology (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Grief, Bereavement, and Mental Health
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
  • Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
Keywords
miscarriage, psychological morbidity, grief, pathological grief, major depressive disorder, anxiety, risk factors, social support, marital adjustment, childlessness, psychological screening, psychological intervention, ultrasound findings, surgical treatment
MeSH terms
Abortion, Spontaneous, Female, Grief, Humans, Pregnancy

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