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How to Talk About Pregnancy Loss

June 6, 20265 min read

What to say, what not to say, and how to give and get support after miscarriage

Posted August 11, 2025 | Reviewed by Davia Sills

Miscarriage is often a quiet kind of grief . It is incredibly common yet rarely discussed. Many women wait to share news about their pregnancy until after the first trimester (or longer), when things feel more certain. But if a loss happens before then, they may find themselves grieving in silence, without the support they truly need.

When it happens, it can be hard to know how to talk about it, or whether to talk about it at all. Should you tell others? What if no one even knew you were pregnant in the first place? How do you start that conversation with your partner, friends, or family? And what do you say to the kids in your life, if you already have children, nieces, or nephews?

There’s no “right” way to talk about pregnancy loss, but there are thoughtful ways to approach these conversations, especially when young ears are listening.

Why Talking About Miscarriage Matters

One in four pregnancies ends in miscarriage. It’s more common than many realize. Yet, despite how often it happens, the emotional impact is seldom acknowledged.

A miscarriage is typically treated like a medical event, not a personal loss. This causes many to grieve in silence. Without open conversations or meaningful support, feelings of isolation, guilt , or confusion can grow, not just for the person who experienced the loss, but for everyone close to her as well.

Talking about miscarriage with honesty and compassion helps break that silence. It makes space for grief and shows what resilience can look like. These talks also create stronger emotional bonds between the person or couple who experienced the loss and their support system.

Talking to Your Partner: Grieve Together, Not in Parallel

Start with honesty and curiosity about each other’s emotional experiences. It is important to remember that people grieve in different ways, and that’s OK.

Instead of assuming how your partner feels, invite them in. Grief can look very different from person to person. One person might cry easily, while another copes by staying busy or withdrawing. There is no right or wrong way to grieve, but staying connected through it can help you both feel less alone.

Talking to Friends and Family: Share With Those Who Can Support You

Choose who you tell based on your emotional needs, not obligation. Some family members may feel their own grief over the loss of a future grandchild and pull for your support. Others will want to be supportive and helpful. Some, however, may center their own feelings, cast judgment, or even place blame. Know that your role is not to take care of anyone else’s emotions as you share your news.

It’s OK to set boundaries and be direct with what you need. You might say, “I’m not ready to talk in detail, but I appreciate your support.” And it’s also OK to ask for help: “Could you check in with me next week?” or “Can we talk about something else for a while?”

Talking to Children: Use Age-Appropriate Honesty

If your child or young relative knew about the pregnancy or sensed changes in your behavior, it’s important to acknowledge the loss. Avoiding the topic can lead to confusion or mistrust . Children are often very aware when something is wrong. Without clear explanations, children can feel scared or even blame themselves for what is happening.

For young children (ages 3-7):

For older children and teens:

Encourage questions but keep answers simple. It’s OK to say, “I don’t know why this happened,” or “I’m feeling really sad right now, but I’m here for you.”

What Not to Say to Someone You Know Who Suffered a Loss (And Why)

Even with the best of intentions, certain phrases can hurt more than help:

These statements attempt to soothe but can feel invalidating. What helps more?

You don’t have to have all the answers. Allow space for your own grief, and seek support from a therapist, support group, or trusted friend when needed. Talking about miscarriage isn’t just about processing loss. It’s about healing, connecting, and breaking the silence for others who may be quietly grieving too.

If you or someone you know has experienced miscarriage or pregnancy loss, know that support is available. You are not alone.

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Frost, M., & Condon, J. T. (1996). The psychological sequelae of miscarriage: a critical review of the literature. The Australian and New Zealand journal of psychiatry , 30 (1), 54–62. https://doi.org/10.3109/00048679609076072

Frost, J., Bradley, H., Levitas, R., Smith, L., & Garcia, J. (2007). The loss of possibility: scientisation of death and the special case of early miscarriage. Sociology of health & illness , 29 (7), 1003–1022. https://doi.org/10.1111/j.1467-9566.2007.01019.x

Jaffe, J. & Diamond, M. (2011). Reproductive Trauma: Psychotherapy with Infertility and Pregnancy Loss Clients. Washington, DC: American Psychological Association Press.

Jaffe, J and Diamond, M, Diamond, D (2005). Reproductive Trauma: The Psychology of Infertility and Pregnancy Loss. GYN/OB-4. Southern Medical Journal. 98 (10) Supplement: S57 October.

Lang, Ariella & Fleiszer, Andrea & Duhamel, Fabie & Sword, Wendy & Gilbert, Kathleen & Corsini-Munt, Serena. (2011). Perinatal Loss and Parental Grief: The Challenge of Ambiguity and Disenfranchised Grief. Omega. 63. 183-96. 10.2190/OM.63.2.e.

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Elizabeth A. Grill, Psy.D., is Director of Psychological Services at the Ronald O. Perelman and Claudia Cohen Center for Reproductive Medicine and an Associate Professor of Psychology at Weill Medical College of Cornell University.

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