Why Miscarriages Happen & How to Cope: Understanding Causes and Finding Support

Author: Egbodo Peter

Introduction 

A miscarriage can be one of the most emotionally painful experiences for anyone expecting a baby. It is more common than many realize, yet often remains a silent struggle. Understanding why miscarriages happen and how to cope with the emotional and physical effects can help those affected find healing and support. 

What is a Miscarriage? 

A miscarriage, also called spontaneous abortion, is the loss of a pregnancy before 20 weeks. According to the World Health Organization (WHO), about 10-15% of known pregnancies end in miscarriage, but the actual number may be higher as many occur before a woman even realizes she is pregnant. 

Common Causes of Miscarriage 

There are several reasons why a miscarriage may occur, including: 

1. Chromosomal Abnormalities 

The most common cause of early miscarriage is genetic or chromosomal abnormalities in the developing fetus. These issues prevent the embryo from developing properly, leading to pregnancy loss. 

2. Hormonal Imbalances 

Hormones play a crucial role in maintaining pregnancy. Conditions like polycystic ovary syndrome (PCOS) or thyroid disorders can affect hormone levels and increase the risk of miscarriage. 

3. Uterine Abnormalities & Weak Cervix 

A uterus with structural problems, such as fibroids or a septum, can make it difficult for the embryo to implant properly. An incompetent cervix, which opens too early, can also lead to second-trimester miscarriages. 

4. Infections & Chronic Illnesses 

Certain infections (such as bacterial vaginosis, rubella, or listeria) can increase miscarriage risk. Chronic illnesses like diabetes, uncontrolled high blood pressure, or autoimmune disorders can also impact pregnancy. 

5. Lifestyle Factors 

Smoking, excessive alcohol consumption, drug use, and high levels of stress can negatively affect pregnancy. Poor nutrition, exposure to environmental toxins, and extreme physical activity can also contribute. 

6. Blood Clotting Disorders 

Conditions like antiphospholipid syndrome (APS) or thrombophilia can lead to blood clots forming in the placenta, restricting blood flow and causing pregnancy loss. 

7. Age & Previous Miscarriages 

Women over 35 have a higher risk of miscarriage due to declining egg quality. Having multiple previous miscarriages can also indicate underlying health concerns that need medical attention. 

How to Cope with a Miscarriage 

Losing a pregnancy can be heartbreaking, but there are ways to navigate the grief and find support: 

1. Allow Yourself to Grieve 

Everyone experiences loss differently. Whether you feel sadness, anger, guilt, or numbness, all emotions are valid. Take the time you need to process your feelings. 

2. Seek Medical Support 

If you’ve had multiple miscarriages, your doctor may suggest tests to identify possible causes. Treatments like hormone therapy, lifestyle changes, or surgery (in cases of uterine abnormalities) may help reduce future risks. 

3. Find Emotional Support 

Talking to your partner, family, or friends can help you process your loss. Support groups or counseling can also provide comfort from others who have experienced similar grief. 

4. Take Care of Your Body 

Your body needs time to heal after a miscarriage. Rest, eat nutritious foods, and engage in gentle physical activity when you feel ready. If you plan to conceive again, talk to your doctor about the best time to try. 

5. Consider Future Pregnancies with Caution & Hope 

Many women go on to have successful pregnancies after a miscarriage. If you’re trying again, prenatal care, a healthy lifestyle, and medical support can increase your chances of a healthy pregnancy. 

Final Thoughts 

Miscarriage is a deeply personal and often painful experience, but you are not alone. Understanding why it happens and taking steps to heal—both physically and emotionally—can help you move forward. Support from loved ones, medical professionals, and self-care practices can make the journey easier, giving you hope for the future. 

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