A systematic review and thematic synthesis of women’s coping strategies for early to late miscarriage

This systematic review and thematic synthesis explored how women cope following miscarriage without a known cause occurring up to 24 weeks’ gestation. Researchers searched seven databases and reviewed qualitative studies published between 2014 and 2024. Nine studies involving women across eight countries were included, allowing the researchers to examine common experiences and coping strategies across different social and cultural contexts.

Four key themes were identified: denying or commemorating the lost child; a changed outlook after the loss; seeking a cause or meaning; and social interactions as a source of support or pain. The findings show that coping following miscarriage is highly individual and can be strongly influenced by relationships, cultural beliefs, social attitudes and the responses of others.

The review highlights the important role healthcare professionals can play following miscarriage. Empathetic, individualised and non-judgmental support may help women cope with their loss, while insensitive or inadequate responses can compound distress. The findings reinforce the need for miscarriage care that recognises both the emotional impact of pregnancy loss and the different ways women may respond to it.

Authors: Jayde M.Y. Lee, Claire Feeley, David Wyatt
Publication date: 28 November 2025
Journal: Women and Birth, Volume 39, Issue 1, Article 102144
Link to paper: https://doi.org/10.1016/j.wombi.2025.102144