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Gestational Loss: What Happens to our Body and Emotions?

When on the path to becoming parents we experience a gestational loss, the physical and emotional pain becomes a feeling of grief that is experienced when losing something that was always dreamed of and that was achieved for a short time.

The question, what happened? is one of the most frequent among those couples who fail to bring their pregnancy to term; looking for a reason to explain that moment of pain is perhaps the way many find to face the situation and live the process in the best way.

Understanding from the medical diagnosis what led to the loss is fundamental, however, going further and living the process from emotional support can be of great help to overcome grief and understand when is the best time to try again.

Understanding the importance of both the medical and emotional components, we share some questions/answers that can help you understand when gestational loss occurs and how it is experienced:

Gestational loss is considered when a pregnancy fails to reach term and a spontaneous abortion occurs during the gestation stage (although it can be at any time during gestation, before week 20 the probability of it occurring may be higher)

There are multiple causes that can lead to this event, however, it is important to pay attention when there are 2 or more consecutive losses with the same partner. This diagnosis is known as “RECURRENT LOSS” and should be accompanied by a fertility specialist.

Why does recurrent gestational loss occur?

There is a wide variety of diagnostic possibilities that could answer this situation, so it is always important to perform a comprehensive analysis of the couple to identify the reason why the losses occur. Some reasons could be:

  • Genetic: alteration in the chromosomes of the parents, which predispose the formation of the embryo, leading to a loss or abortion.
  • Anatomical: when the uterus has congenital or acquired alterations that do not allow the embryo to implant and develop in it.
  • Hormonal/endocrine: patients with diagnoses of thyroid, diabetes, elevated prolactin, among other conditions that affect fertility. The alteration in hormone production can generate pregnancy losses.
  • Coagulation problems: inability to provide the baby, through the umbilical cord, the blood necessary for its formation.
  • Male factor: alteration in the man’s DNA. Alterations are generated in the information that is transmitted to the embryo and the correct formation of the pregnancy does not occur.

How long should you wait to seek a new pregnancy?

It is recommended to wait approximately 2 or 3 months if it is the first loss and the pregnancy did not exceed week 12 or 13. This suggestion should be taken with the family doctor, taking into account the patient’s diagnosis.

If there are 2 or more consecutive losses, it is important to suspend the search and consult with a fertility specialist to find the reason for the diagnosis and look for a solution.

When a gestational loss is experienced, especially in couples who are in fertility treatments, it is recommended from the emotional component to live a grieving process that allows to process the pain, sadness and farewell.

There is no single or ideal way to live gestational grief, each person does it according to their experience and feeling. However, allowing yourself to feel is the first step to move forward and accept.

How to cope with gestational grief?

The first thing is to understand that grief is an emotional process that occurs when a loss is generated. In the case of a pregnancy, the loss of an unborn baby, but if longed for and dreamed of.

Although for many people it is difficult to express this pain, it is important to allow yourself to live the process, accept it and transform it.

Not for everyone the feeling or grief will be the same. Each person should live their loss according to their emotions, feelings and personality; the important thing is to understand that it is a difficult moment that must be overcome, and if necessary, emotional support should be sought to face it and continue.

What are the most common feelings in the midst of gestational losses?

  • Guilt: looking for those responsible or taking responsibility for oneself is one of the most common actions, however, in the midst of this process it is important to understand that losses occur due to factors beyond someone’s will. Trying to understand the causes is important in the grieving process, but also letting go, living, accepting what happened is fundamental.
  • Remorse: feeling that something was done that should not have been done, generates a feeling of guilt that, although it may not correspond to reality, it is important to observe it, welcome it and then transform it by connecting with what is valuable that the experience of having gestated the time we did left us.
  • Loneliness: although gestational losses are more common than believed, people who live this process feel alone and afraid to talk about the subject. Support groups should be sought to help live the grief in the best way and with accompaniment.
  • Sadness: it is an innate feeling of the human being in the face of a loss or farewell. It is very good to feel it, to then welcome new feelings of well-being. It is important to understand that contradictory feelings can coexist and it is also normal in this process.

How to cope with gestational grief?

There is no single way to cope with gestational grief, each person should live this experience in a unique and individual way. We share some recommendations that will help you cope with this farewell to continue in the best way:

  • Look for support networks to understand that you are not the only one.
  • Allow yourself to live the process to accept it and transform it.
  • If you feel it necessary, perform rituals that allow you to give a place to your experience and that enable the farewell that is so fundamental in grief.
  • Value the time you enjoyed the gestation. It was a unique experience that will forever remain in your heart.
  • Respect the grief of the other. We do not all live the process in the same way.
  • Seek emotional support. It will help you to go through the experience, elaborate the grief, understand the appropriate time to continue in the search for motherhood and fatherhood, if that is the desire.

Can emotions lead to a gestational loss?

There is no evidence to show that the emotional part is a direct factor that leads to a gestational loss, however, some behaviors acquired by psychological or emotional aspects can lead to behaviors that alter fertility. For example, the consumption of nicotine or alcohol due to anxiety, lack of sleep or rest due to feelings of worry or stress, among others.

We must not forget that the body, mind and emotions are an integral whole, what happens on one side can affect or alter the other. The important thing is to take care equally of all these areas of our life.

Remember that in our INSER clinics we provide emotional support in each stage of the process. If you are experiencing a gestational loss, contact us and request your consultation.

  • Medellín: Tel. +57(604) 268 80 00
  • Bogotá: Tel. +57(601) 746 98 69
  • Pereira: Tel. +57(606) 340 17 09
  • Cartagena: Tel.+57(605) 693 0434

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