Women experiencing post-traumatic depression after miscarriage, please give women more care

  This London-based study used questionnaires to identify anxiety, depression and post-traumatic stress symptoms in women with early pregnancy, sending questionnaires to women 1 month, 3 months and 9 months after their miscarriage.  The results showed that of the women who answered the questionnaire within 1 month: about 29% had post-traumatic stress symptoms, 24% had anxiety symptoms, 12% had depressive symptoms 9 months after losing the pregnancy, and 18% had post-traumatic stress symptoms.  We should be more aware that abortion can affect women’s mental health and should ensure that women have access to appropriate support and treatment when they need it.  The study was conducted by researchers from Imperial College London, UK, and KU Leuven, Belgium. It was published in the peer-reviewed AmericanJournalofObstetricsandGynecology.  The researchers recruited 737 women who had miscarriages and 171 women with ongoing pregnancies as a control group. Questionnaires were administered at 1 month, 3 months and 9 months (or control group) after pregnancy loss to assess their mental health. One questionnaire assessed anxiety and depression symptoms using the Hospital Anxiety and Depression Scale (HADS) and the other assessed post-traumatic stress symptoms using the Post Traumatic Stress Diagnostic Scale (PDS).  Women with miscarriages (according to the questionnaire) showed symptoms of post-traumatic stress (as a percentage): 29% at 1 month, 21% at 3 months, and 18% at 9 months.  Symptoms of moderate to severe anxiety (%): 24% at 1 month, 23% at 3 months, 17% at 9 months.  Symptoms of moderate to severe depression were (as a percentage): 11% at 1 month, 8% at 3 months, and 6% at 9 months.  CONCLUSION: Women experience miscarriage in different ways, and for many women it is a distressing experience. This study suggests that it can have a significant impact on a woman’s mental health, both after the event and in the months to come. Especially during the first 12 weeks, people may not tell family and friends about the pregnancy, which also makes it difficult for women to get the help and support they need. It may also cause considerable anxiety in future pregnancies, and the overall impact may be greater as the number of miscarriages a woman has increases.  Overall, it is impossible to determine exactly how many women suffer mental health problems after pregnancy loss, but this study suggests that many women may suffer serious mental or emotional illness in the months following such an event, and that they should be treated positively and receive effective help.