The Lie Miscarriage Told You
- Alexis Zollo, Ph.D.
- May 29
- 3 min read
Was it the wine I had before I knew? The run I didn't skip? The stress I couldn't manage? The argument we had that week?
If you've experienced a miscarriage, there's a good chance your mind went somewhere like this. Replaying the weeks before and looking for the thing that you did (or didn't) do that caused it. Because if you caused it, then maybe you could have prevented it, and if you could have prevented it, then maybe you still have some control over something that felt completely and utterly out of your hands.
While this thought process is understandable, it's also not true.
Why We Reach for Blame
When you find out that you're pregnant, a whole imagined future gets written. You might check the calendar to do the math for the due date, think about how you're going to tell people, or stop drinking coffee and eating deli meat. When that pregnancy is lost, it's not only a pregnancy that's gone, but a version of yourself and the future you had already started living inside of.
Grief that large needs somewhere to go, and when we don't have control over something - when there is no clear cause or explanation to make it make sense - we often try to create one. We turn the question onto ourselves because that gives us something to hold on to. Because if I caused this, then maybe next time I can stop it.
Self-blame in the aftermath of miscarriage is your mind trying to restore a sense of order in the middle of chaos, and while it's so common, it's still not the truth.
What We Actually Know About Why Miscarriages Happen
The most important thing to understand is this: the majority of miscarriages - particularly in the first 12-weeks - are caused by chromosomal abnormalities that occur during fertilization that prohibit the embryo from developing into a fetus. This is not something you caused or something you could have detected. It's not something that a different choice, a better habit, or a calmer week would have changed.
Chromosomal issues are the most common reason, but not the only one. Other contributing factors can include hormonal imbalances, structural differences in the uterus, immune system responses, clotting disorders, or age-related changes in egg quality.
What is notably absent from that list: the glass of wine you had before you knew. The run you went on. The stressful meeting. The argument. The thing you kept replaying.
You Are Not as Alone in This as it Feels
Approximately 1 in 4 pregnancies end in miscarriage. That number includes losses that happen very early, sometimes before a person even realizes they were pregnant, as well as losses that happen after weeks of hope and planning.
What that number means is that the people around you - friends, colleagues, family members - have very likely been here too. Many of them didn't talk about it, because we don't have good language for this kind of loss and because the silence around it has taught people that miscarriage is something to hide.
What To Do With This Right Now
You don't have to stop grieving or feel better faster or arrive at peace with any of this on any particular timeline. What you can do is try and notice when the self-blame narrative shows up and just observe it for what it is: an understandable attempt to make meaning out of something that resists it. You don't have to argue with it or win against it, but just recognize it as your mind trying to protect you, even when the story it's telling isn't true.
If you're finding the weight of this hard to carry, reaching out for support is not an overreaction. It's one of the more honest things you can do for yourself. I work with people navigating exactly this: the grief, confusion, feelings that don't follow a neat path. If that's where you are, we can help.
Reach out to www.thereproductivewellnesscenter.com for individual therapy and support.
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