This is a bit of a personal post. I've heard there's a trend for "trigger warnings" these days, so I should note that this post might deserve one. So, consider yourself warned on both counts.
Back in March, I learned I was pregnant. MJ and I were both nervous, excited, and a little surprised. But, I'm not pregnant anymore - I had a miscarriage just a few weeks "in."
Miscarriage is something that's not talked about much in our society, unless one seeks out the conversation. That's not fully surprising. It's at once natural and somewhat embarrassing; deeply personal, but something many women experience. Telling someone about it feels like divulging some deep, raw aspect of yourself. And, often through the following months, thinking about it or bringing it up brings the pain, fears, and anxieties back to the surface. As the calendar ticks on, it is easy to remember milestones that would have been.
We knew the statistics for miscarriage (as many as 20-25% of known pregnancies) and that it was a risk before we talked seriously about having a baby, but it all sounded very clinical. And, in fact, doctors treat it that way, especially (apparently) for the first. My doctor assured us that there was nothing to worry about; there was nothing to suggest we'd have any trouble conceiving again. These things sometimes "just" happen, after all, and there's nothing that modern medicine believes can be done for an early miscarriage. Most have no known direct cause.
What I didn't expect was the emotional toll the experience would take. Of course I'd be sad, but I wasn't "very pregnant", so I hadn't really seen it as really losing a baby. (Although this was my personal experience; others have a different perspective.) I was certain I could be academic about the whole experience, just like the medical professionals. But quickly, I learned that I was mourning hope and joy. The excitement we had at learning we were expecting had turned into anxiety as things "weren't going right" into grief at the loss of those dreams. It wasn't immediate, and I wasn't prepared when it came.
The other issue was physical. I had my miscarriage naturally at home. All in all, it wasn't as bad as I had feared from stories on the internet. But, relief was not immediate. While other women posted online about trying again right away (even though most doctors and midwives recommend waiting one cycle), it took eight weeks for my HCG levels to drop most of the way. And then, my cycle wasn't like it was before. This served as a monthly reminder that things weren't really normal; they were different. I was further surprised to find myself suffering from mild depression at the end/start of each cycle. I believe this is as much tied to the physical and hormones not-quite-right yet as anything pyschological.
There are a few things that I've learned, though:
- Asking someone about when/whether they are planning to have a family is not good small talk. I had been guilty of this, myself. Unless you have a close relationship with someone, you don't know what they may be going through and these simple questions can actually be quite painful. (I'm told that couples who intend to remain childless tire of this question quickly, as well.)
- One shouldn't feel guilty or embarrassed about experiencing miscarriage. Easier said than done, of course. But, it is important to feel comfortable with someone before sharing the news. I still find it easier to think about people knowing about my experience than telling them myself.
- "Don't worry, you can try again." or "Your take-home baby will come." Neither of these statements are as encouraging to the person hearing them as they sound. I suppose if one is able to conceive again in quick order, they may be. But, I've since encountered plenty of women who are still waiting and may never be able to conceive. Even if this isn't the case, to some it may add hard-to-meet expectations on top of an already anxious situation.
- It's hard to know what to say, for everyone in the conversation. Choose your words carefully (as we always should!), but also recognize that very few people say things to be intentionally hurtful or uncomfortable.
