Sunday, October 17, 2021

How To Stop Worrying About Miscarriage, According To Experts


No matter how healthy you are or how well your pregnancy is going, worries about miscarriage can still rear their ugly head. This is especially true for women who have miscarried previously or have had to overcome challenges to conceive. If you’re wondering how to stop worrying about miscarriage, experts agree that it is possible to put your fears at ease — or at the very least, decrease overwhelming feelings of doubt and uncertainty.

“The natural worry about the safety of your child, friends who have experienced miscarriage, and experiencing miscarriage before can all drive anxiety about miscarriage,” neuropsychologist Dr. Sanam Hafeez tells Romper. “Many women are delaying pregnancy to achieve personal or career goals, so some women over the age of 35 may fear miscarriage due to the risk of pregnancy loss increasing as they get older.”

No matter where you’re at in your pregnancy journey, miscarriage is a completely valid concern, but the anxiety it brings can be crippling. As Hafeez puts it, “Worrying is what moms do.”

What You Should Know About Miscarriage Risks

Dr. Lora Shahine, a double board-certified physician who specializes in reproductive endocrinology and infertility, tells Romper that one in four pregnancies will end in miscarriage. “The majority of miscarriages happen in the first trimester and the risk increases with age, certain medical conditions, and reproductive history,” she explains.

The maternal and child-focused health organization, March of Dimes, reports that up to 95% of miscarriages happen prior to the 12th week of pregnancy, with miscarriage in the second trimester occurring in only 1 to 5 in 100 pregnancies.

“The most common cause of first trimester miscarriage is a genetic issue within the embryo, specifically a chromosome imbalance,” Shahine explains. “There are some medical factors in the people conceiving that can lead to increased risk of miscarriage, so an evaluation may include testing anatomy, hormone levels, immune issues, genetics, and counseling may include lifestyle changes to optimize overall health.”

Repeat miscarriages, or recurrent pregnancy loss, occur in about 1% of women, with up to 75% having no known cause, according to March of Dimes. Of those who experience repeat miscarriages, 65% do go on to have a successful pregnancy eventually.

How Miscarriage Worries Can Manifest

“When you’re in the early stages of pregnancy, it’s natural to feel a whole host of different emotions, including fear,” therapist and author Dr. Michele Kambolis explains. “Worry thrives in future focused fear-based thinking. The driving force of all worry is the question ‘what if….’ When pregnant moms go down the pathways of ‘what if’ the mental stories feed anxiety and fear, impacting the entire mind-body system.”

This loop of anxiousness can lead to a plethora of unwelcome feelings and behaviors that can send you into a spiral of worry about whether or not you’ll miscarry.

“Anxiety might cause women to be preoccupied with small signs and symptoms of a pregnancy loss such as small amounts of bleeding or cramping — all signs of a normal pregnancy,” Dr. Barbara Stegmann, a former fertility specialist and current clinical lead for women’s health at Organon, tells Romper. She notes that about 80% of women have some bleeding during pregnancy.

How To Ease Fears When You’ve Miscarried Before

“Miscarriages can be very scary, especially because there is very little that can be done to stop or prevent one,” Stegmann tells Romper. “For women who have had a previous loss, I’ve found that there is a tendency for her to ‘hold her breath’ until she has passed the time when the previous loss occurred.”

Speaking from the perspective of someone who has experienced multiple miscarriages herself and counseled women for 25 years, Kambolis says that practicing self-compassion is one key to getting through miscarriage worries. “Holding yourself with compassion and honoring the vulnerability of your experience helps dissolve the impact of trauma,” she explains. “Practices like loving kindness meditation train the brain to shore up compassion, healing our hearts and minds in the most difficult of times.”

Kambolis, Stegmann, and Hafeez all recommend reaching out for support by speaking with other women who have experienced pregnancy loss to help navigate feelings of worry. Although she notes that that it’s certainly “easier said than done,” Hafeez also advises taking things one day at a time. “Affirm each day and celebrate the completion of each week. This helps you to stop worrying about the future and think only about today.”

Expert Tips To Stop Worrying About Miscarriage

The old adage that knowledge is power can certainly hold true when you’re concerned about miscarrying. “To cope with anxiety regarding miscarriage, educate yourself on how to recognize what your body is going through and understand the best way to protect your health and your baby’s wellbeing,” Hafeez tells Romper. “Make sure also to attend regular prenatal checkups to reduce your risk of a miscarriage.”

Another suggestion from Hafeez is to focus on the things that you can control like eating a healthy diet, moving your body regularly, and staying hydrated. She also recommends journaling as a way to alleviate anxious feelings. “This can help you reflect on your concerns and brainstorm potential solutions,” Hafeez says.

One simple tactic to reach for in the moment when your mind starts to spiral with miscarriage worries is deep breathing. “Anchoring in the breath is one of the most potent healing mechanisms we have when we feel worried and afraid,” Kambolis says. “We know that slow, deep breathing — like 4,4,6,2 breathing — supports health by turning up the soothing parasympathetic nervous system and tamping down the activating sympathetic nervous system, a sure route to feeling calmer.”

Also, as tempting as it is to connect with others online, it can be helpful to stop doomscrolling. “In general, I would try to avoid relying solely on information from the web as it may often not be relevant to your specific situation,” Stegmann says. Lean on other moms who have been there, speak to a therapist, or talk to your healthcare provider to help guide you through the overwhelm of miscarriage worries.

Experts:

Dr. Michele Kambolis, therapist and author of When Women Rise: Everyday Practices to Strengthen Your Mind, Body, and Soul

Dr. Lora Shahine, MD, FACOG, with Pacific Northwest Fertility

Dr. Sanam Hafeez, neuropsychologist in NYC, director of Comprehend the Mind

Dr. Barbara Stegmann, clinical lead for women’s health at Organon


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