Pregnancy and fear of a second loss

The WHOcontain the Infertility in the group of chronic diseases and emotional reactions. This is because the diagnosis and treatment of infertility with assisted reproductive technologies is similar to other types of prolonged stressful situations due to its chronic component. Therefore, in some cases, it can be said that pregnancy and the fear of a second loss are incompatible, as this fear can be a reason to stop fertility treatments. He The stress level of patients with infertility tends to increase when treatment is intensified and prolonged for months and the results are negative.

Fear of pregnancy after a loss

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Anxiety in pregnancy after an abortion is real

54% of couples Stop IVF treatmentwithout achieving pregnancy before completing three courses of treatment. The main reason is the bear psychological burden (Olivius K et al., 2007). Of all the experiences rated as the most stressful, 94% of patients believe the first is the loss of pregnancy once achieved (Brandes et al., 2009).

When pregnancy is achieved after treatment with reproductive techniques, initial expectations prior to treatments seem to be fulfilled and the Illusions are reborn once again. It is a moment lived with great joy and optimism, thinking that the desired child will finally be born soon. When the pregnancy unfortunately does not come to an end because the woman suffers some kind of abortion, the couple experiences a strong emotional strain.

It should be noted that a Abortion is a powerful grief reaction in any situation. When it occurs in couples who have lived through the experience of treatment, the road to dealing with that loss is even more difficult.

Emotional health in the face of infertility

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Repeat abortions collide with two of the most important coping processes in couples. On the one hand, there are control beliefs, which are beliefs about the likelihood that certain actions will produce the expected outcome and that we have a certain ability to perform those actions. On the other hand, with the degree of perceived self-efficacy (Bandura, 1991).

In the Repeated miscarriages can make women feel like there is nothing they can dothat they will never be able to have a baby and feel tremendously helpless and frustrated. Women in this situation often experience feelings of pain, fear, guilt, and confusion. This situation is even more difficult for couples who have multiple/recurrent abortions. Experts therefore confirm that the Pregnancy and the fear of a second loss are real.

He emotional impact is increased when the couple or the woman conducting the process on her own keeps the situation secret, since coping with an abortion is not easy. These people have no social support to vent or receive affection in this difficult situation. Their closest circle does not understand or is unaware of the pain they are experiencing.

It is recommended in this kind of cases a comprehensive therapeutic approachin which the biological, psychological and social area is worked on.

Psychological support could work to reduce the stress related to infertility issues and experience the process of loss and end the phase in a healthy way. In addition, patients can be psychologically supported at the end of pregnancy so that they are as emotionally stable as possible.

  • Brandes M et al. When and why do subfertile couples stop their fertility treatment? A longitudinal cohort study in a secondary subfertility population. human reproduction. 2009 24(12):3127-3135.
  • Cousineau TM & Taming AD (2007) Psychological effects of infertility. Best Practice & Research Clinical Obstetrics and Gynaecology. 2007. 21(2):293-308.
  • Station. Psychological factors in recurrent abortions. In V. Gimenez (ed.). Manual of Psychological Intervention in Assisted Reproduction. Community of interest in psychology. Spanish Fertility Society. 2010. Barcelona: EdikaMed.
  • Olivius K et al. Cumulative probability of live birth after three cycles of in vitro fertilization/intracytoplasmic sperm injection. Fertility & Sterility. 7(3):505-510.

Mary is health psychologist. She specializes in research and treatment in psychopathology and mental health. He has completed two official Masters at the University of Valencia (UV).

Since 2015 he has been working with the association ASPROIN, which focuses on people with infertility problems where does individual and couple psychological support. She also creates posts on her blog that provide high-quality scientific evidence on fertility.

Since 2014 he has been working as Teacher in various workshops to improve mental wellbeing, and the use of instruments for better capacity development. Recently she has worked as a community mediator on issues of Socio-cultural integration of migrant women.

He is currently collaborating on our website to review and write content on psychology and infertility.

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