One in 12 partners experience post-traumatic stress after miscarriage, suggests a new study.
The research, led by Imperial College London, surveyed over 100 couples who had experienced early stage pregnancy loss (miscarriage or ectopic pregnancy before 12 weeks).
The study, the first ever to investigate post-traumatic stress (PTS) in partners following miscarriage, follows previous research from the same team that found around one in five women experience long-term PTS following early pregnancy loss.
The current research, published in the journal Ultrasound in Obstetrics and Gynecology, found that one month after pregnancy loss, one in 14 (7 per cent) partners met the criteria for post-traumatic stress (PTS), rising to one in 12 (8 per cent) at three months, with one in 25 partners still suffering from PTS nine months after the pregnancy loss.
The team behind the research, funded by the Imperial Health Charity and theImperial National Institute of Health ResearchBiomedical Research Centre, call for improved psychological support for a woman and her partner following pregnancy loss.
Professor Tom Bourne, lead author of the research from Tommy’s National Centre for Miscarriage Research at Imperial College London said: “There are around 250,000 miscarriages in the UK every year. Our previous research suggested women can be left deeply traumatised after a pregnancy loss, and this new study suggests partners also experience post-traumatic stress. Partners are often ignored when a woman experiences pregnancy loss. Yet this research suggests that although partners do not suffer PTS as often as women, there still could be many thousands of partners living with post-traumatic stress, which is a serious condition that requires treatment.”
One in four pregnancies ends in miscarriage – most often before or around 12 weeks. Ectopic pregnancies always result in pregnancy loss, as an embryo grows in an area outside of the womb and is unable to develop.
The women in the study attended the Early Pregnancy Assessment Units at three London hospitals -Queen Charlottes and Chelsea, St Mary’s, and Chelsea and Westminster. All couples in the study were asked to complete validated questionnaires about their emotions and behaviour one month after pregnancy loss, then again three and nine months later. In total 102 partners completed the survey one month after the pregnancy loss, dropping to 70 at nine months after the pregnancy loss.
The responses from the women were similar to those reported in a previous study, and revealed one month following pregnancy loss, a third of women (34 per cent) suffered post-traumatic stress while one in four (26 per cent) suffered PTS three months after the pregnancy loss, and one in five (21 per cent) at nine months.
The women and partners in the study who met the criteria for post-traumatic stress reported regularly re-experiencing the feelings associated with the pregnancy loss, and suffering intrusive or unwanted thoughts about the pregnancy loss. Both women and partners also reported having nightmares or flashbacks, while others avoided anything that might remind them of their loss.
The team add that although fewer partners met criteria for PTS than women, many of the partners experienced the individual symptoms of PTS, even if they did not meet full criteria for the condition. For instance, at one month, three and nine months after the pregnancy loss, over 80 per cent of all partners reported feeling helpless, and around a third of all partners reported feeling terrified. Around 70 per cent of all partners reported re-experiencing the event, and one in five reported their symptoms had affected relationships.
Dr Jessica Farren, first author of the research from Imperial, and Obstetrici