Guidance on readying body and psyche for a subsequent pregnancy following a miscarriage
In the world of reproductive health, miscarriage is a topic that is often shrouded in silence and misunderstanding. This article aims to shed light on the subject, providing insightful information from medical professionals.
Dr Sanveen Kang, a clinical psychologist and founder of Psych Connect, emphasises that the feelings of guilt following a miscarriage are not always justified. These feelings often stem from a sense of shame, loss of purpose, or a belief that the body has let the person down. However, it's important to remember that miscarriages are often due to factors beyond one's control, such as genetic abnormalities, hormonal imbalances, or uterine conditions.
On the medical front, Dr Jessie Phoon, an obstetrician, gynaecologist, and in-vitro fertilization (IVF) clinician at STO+G Practice, explains that the drop in nausea after a miscarriage is due to a decrease in the human chorionic gonadotropin (hCG) pregnancy hormone. After a miscarriage, a woman's body undergoes the natural process of expelling the pregnancy tissue, followed by hormonal adjustments. Physically, this can include bleeding similar to or heavier than a menstrual period, uterine contractions, and subsequent healing of the uterine lining.
Beyond the physical recovery, the emotional weight of a miscarriage can be overwhelming. Dr Nur Azleen Sidek, an associate consultant with the department of obstetrics and gynaecology at National University Hospital (NUH), notes that there is often a sense of guilt that the loss is the person's fault, even when it is not. Feelings of pain, isolation, anxiety, and grief are common after a miscarriage.
The desire to grow a family after a miscarriage can co-exist with deep anxiety, grief, and fear of another loss. It's crucial for individuals to seek support during this challenging time. Whether it's from family, friends, or professional counsellors, having a support system can greatly aid in the healing process.
It's also worth noting that the risk of miscarriage increases with age. In women over 40, miscarriage occurs in more than one in two pregnancies. This statistic underscores the importance of seeking medical advice and regular check-ups during pregnancy, especially for those in the later stages of life.
In conclusion, understanding what happens after a miscarriage can help women prepare physically and mentally for the next chapter of their fertility journey. It's essential to remember that feelings of guilt and shame are not uncommon, but they are often unfounded. Seeking support, both emotional and medical, can help individuals navigate this difficult time and move towards healing and hope.
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