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Spontaneous abortion is common in early pregnancy, whilst recurrent miscarriage is relatively rare. Empirical studies of psychological sequellae of spontaneous abortions are limited, but strongly suggest that a significant number of women who miscarry, experience grief and various degrees of clinically-significant depression and anxiety. Depression is more common amongst women with recurrent abortions. Contributory factors for the development of psychological distress in women range from obstetric history, personality, past history of psychiatric illness, attitude towards pregnancy and social support.
There is evidence that clinicians are poor at the psychological management of miscarriage. If detected early, successful intervention can be made in cases of grief and other clinical disorders. Sensitivity, support and appropriate psychopharmacological intervention can significantly reduce distress.
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