The Lancet - Miscarriage: worldwide reform of care is needed

30 April, 2021

Here are the citation and extracts from the lead editorial in this week's issue of The Lancet, and three linked papers.


CITATION: Editorial| volume 397, issue 10285, p1597, may 01, 2021

Miscarriage: worldwide reform of care is needed

The Lancet

Published: April 26, 2021


Globally, an estimated 23 million miscarriages occur every year. Despite the personal toll involved, many miscarriages — defined as the loss of pregnancy before viability — are managed in relative isolation. Private grief and misconceptions—eg, the belief that miscarriage can be caused by lifting heavy objects, or that there are no effective treatments—can lead to women and their partners feeling at fault or managing alone. Similarly, in the health-care system and broader society, the continuing conviction that miscarriages are unavoidable and the requirement, enshrined in many national guidelines, that women must have recurrent miscarriages before they are eligible for investigation or intervention has created a pervasive attitude of acceptance of miscarriage, urging women to “just try again”...

The era of telling women to “just try again” is over.


Linked articles:

Series|miscarriage| volume 397, issue 10285, p1658-1667, may 01, 2021

Miscarriage matters: the epidemiological, physical, psychological, and economic costs of early pregnancy loss

Sporadic miscarriage: evidence to provide effective care

Recurrent miscarriage: evidence to accelerate action


Neil Pakenham-Walsh, HIFA Coordinator,