Outpouring of praise for revealing new book by Michelle Obama

Describes heartbreak of miscarriage

Emmarie Huetteman Kaiser Health News | 11/21/2018, midnight
Miscarriage is “lonely, painful, and demoralizing,” Michelle Obama writes in her new..

Miscarriage is “lonely, painful, and demoralizing,” Michelle Obama writes in her new memoirs. Yet, by some estimates, it ends as many as 1 in 5 pregnancies before the 20-week mark.

The former first lady’s disclosure that she and former President Barack Obama suffered from fertility issues, including losing a pregnancy, has sparked conversations about miscarriage, a common but also commonly misunderstood loss.

Psychologists say that ignorance can contribute to the emotional and psychological toll of losing a pregnancy, isolating women and their partners and leaving loved ones uncertain of how to comfort them.

Nearly five years later, Becky Shaw of Woodbridge, Va., still remembers texting her friend after her miscarriage, just asking if she was around to talk. Within a couple of minutes, her friend called. “I don’t even remember what she was saying, but she made me laugh,” Shaw said.

The trauma began early in her first pregnancy. Shaw, now 35, had experienced some bleeding when she and her husband showed up for her checkup on Christmas Eve in 2013. The nurse performing the ultrasound was wearing a Santa hat.

“You can tell when something’s wrong,” Shaw said. “She’s just staring at the screen. And then she was finally like, Can you hold your breath?”

The nurse struggled to find the baby’s heartbeat, which she said was dangerously low and could stop. For weeks, Shaw felt “like a time bomb.” She miscarried in early January.

Shaw said it is important for a woman like Obama to speak out about her miscarriage. “It just makes people feel less alone,” she said. “My miscarriage wrecked me, and I had the most supportive friends and the best doctors.”

Many grief counselors are praising Obama for illuminating — and normalizing — miscarriage, helping families cope with their own loss.

“What a gift,” said Helen L. Coons, a clinical health psychologist specializing in women’s behavioral health at the University of Colorado School of Medicine.

Miscarriage, or the loss of a pregnancy before 20 weeks, is so common that Americans often stay quiet about their pregnancies until after the first trimester, when the majority of miscarriages occur. Improvements in early pregnancy detection and the use of fertility treatments have also increased the likelihood that couples learn they have miscarried, whereas they once might not have even known they were pregnant.

The risks are greater for black women, who are more likely to experience pregnancy loss than white women. (Black infants are also much more likely to die during their first year of life, according to recent data from the Centers for Disease Control and Prevention.)

For such a common occurrence, though, much about miscarriage is widely misunderstood. A 2015 survey found that many people do not understand its causes, with more than a fifth of respondents saying they believed lifestyle choices (such as smoking or drinking alcohol) are the most common cause. In reality, most miscarriages are caused by genetic problems.

Other factors that respondents wrongly identified as potential causes included lifting heavy objects (believed by 64 percent); having had a sexually transmitted disease (41 percent); and even getting into an argument (21 percent).