ABSTRACT

Miscarriage is an unanticipated life event involving physical pain, real and symbolic loss, and subsequent hormonal change. For these reasons, it may prove a powerful psychological and biological risk factor for depression in women and, in turn, for emotional disturbance in their families. Since 15 to 20 per cent of recognized pregnancies end in a miscarriage, the psychiatric impact of this reproductive loss represents an important potential arena for secondary prevention.