Bethany Murray faced two early pregnancy losses in the past year and expressed a desire for improved access to mental health support services. Last winter, while five weeks pregnant, Murray experienced heavy bleeding and rushed to the emergency room, only to discover that her pregnancy was ending. Months later, during an ultrasound appointment, she learned that her second pregnancy had also ended prematurely.
Reflecting on her experience, Murray described feeling overwhelmed with self-blame despite realizing that there was nothing she could have done differently. According to the Society of Obstetricians and Gynaecologists of Canada (SOGC), approximately 15% of pregnancies end before reaching 14 weeks of gestation.
It is common for some individuals to undergo multiple miscarriages, leading to psychological distress such as depression, anxiety, and post-traumatic stress disorder. In response to these challenges, new guidelines were introduced at the annual SOGC conference in Whistler, B.C., aiming to enhance care for individuals who have experienced early pregnancy loss.
The recommendations include establishing early pregnancy assessment clinics to provide compassionate care to women experiencing pregnancy complications. Additionally, the guidelines advocate for free access to medications for managing miscarriages, improved mental health screening, and the provision of bereavement counseling to support those affected by early pregnancy loss.
Dr. Lynn Murphy-Kaulbeck, the president of SOGC, emphasized the importance of offering compassionate care from the outset to reduce the long-term impact of such traumatic experiences. Dr. Modupe Tunde-Byass, an obstetrician and gynecologist at North York General Hospital, supported the recommendations and highlighted the need for specialized care for individuals undergoing early pregnancy loss.
Murray expressed agreement with the recommendations, emphasizing the importance of tailored support for individuals navigating the emotional aftermath of early pregnancy loss. She advocated for separate spaces in healthcare settings to accommodate the unique needs of those who have experienced pregnancy loss.
The SOGC’s guidelines also call for the establishment of more early pregnancy assessment clinics nationwide, following successful models in other countries. Dr. Tunde-Byass stressed the necessity of consistent and equitable care, particularly in rural areas where access to specialized services may be limited.
Addressing the lasting impact of early pregnancy loss on mental health, Dr. Tunde-Byass underscored the need for sustained support and counseling for affected individuals and their families. She emphasized the importance of providing a welcoming environment for patients to receive comprehensive care and emotional support during such challenging times.
In conclusion, the recommendations put forth by the SOGC aim to enhance the quality of care and support available to individuals grappling with early pregnancy loss. By implementing trauma-informed and compassionate practices, healthcare providers can better address the emotional and psychological needs of those affected by pregnancy loss.