Psychosomatics of a miscarriage
A miscarriage is the loss of a pregnancy before 22 weeks. It happens in 15–20% of pregnancies, most often early on.

What psychosomatics says
After a miscarriage, many women blame themselves. It's important to say it plainly: most of the time, a miscarriage doesn't depend on anything the woman did.
Psychosomatics here is about something else: how to live through the loss. Grief after a miscarriage often goes unnoticed: “you'll have another one,” “it was early.” But for you, it was a baby.
Grief you haven't lived through and the fear of it happening again then follow you into the next pregnancy. Psychosomatics helps you name this pain and let go of the guilt.
What it is
According to the Russian Ministry of Health clinical guidelines (2024), miscarriage happens in 15–20% of pregnancies. It's the most common pregnancy complication, and it most often happens in the first 12 weeks.
Most early miscarriages are caused by problems in the embryo's development, most often the wrong number of chromosomes. The woman couldn't have prevented it, and it's not her fault.
The chance of miscarriage rises with age, with some uterine conditions, with hormonal and autoimmune disorders, and with untreated thyroid problems.
Usually a miscarriage doesn't happen again: after one miscarriage, the chance of carrying the next pregnancy to term is about 85%. If a pregnancy has ended two or more times, doctors call it recurrent miscarriage. Then both partners get tested.
How it shows up
- Spotting during pregnancy
- Dull, pulling pain in the lower belly and lower back
- Cramping pain
An OB-GYN looks after the pregnancy and, after a miscarriage, orders the tests.
Frequently asked questions
Was my miscarriage my fault?
No. Most early miscarriages happen because of chromosomal problems in the embryo and don't depend on anything the woman did. Work, sex, worry or carrying heavy bags usually don't cause it.
How do you cope after a miscarriage?
Let yourself grieve. It was a loss, even if people around you say “you'll have another one.” It helps to talk about it with loved ones or a psychologist. Grief you haven't lived through often comes back as fear in the next pregnancy.
When can you try to get pregnant again after a miscarriage?
You make this decision together with your OB-GYN. If miscarriages keep happening, the doctor will order tests. A psychologist can help you work through the grief and the fear of it happening again, so your next pregnancy isn't one long stretch of anxiety.
Sources
- Клинический протокол «Невынашивание беременности». Министерство здравоохранения Республики Казахстан, 2023
- Клинические рекомендации «Выкидыш (самопроизвольный аборт)». Минздрав России, Российское общество акушеров-гинекологов, 2024
- Клинические рекомендации «Привычный выкидыш». Минздрав России, Российское общество акушеров-гинекологов, 2025
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Psychosomatics does not replace tests and treatment. Only a doctor can make a diagnosis.