Healing your relationship after pregnancy loss
Written by Sunita Osborn, PsyD, MA
Published byPESI Inc.
Last updated: 08/30/2023
After pregnancy loss, it is not uncommon for a couple’s relationship satisfaction to decline, putting them at a higher risk for separation. This is because pregnancy loss is a trauma, and any traumatic event can disturb the foundation of even the strongest and healthiest of couples. At the same time, the experience of miscarriage does not unequivocally lead to a decay in the relationship. For some couples, the loss may indeed highlight existing fractures in their relationship, but for others it creates an opportunity to more deeply understand their partner and their relationship.
Whether a miscarriage stimulates or stifles growth depends on a variety of factors, including how each partner reacts to the loss. For example, some couples may struggle following the loss due to differing expectations regarding how each partner “should” be grieving. After a miscarriage, we generally look to our partner as the one person in the world who truly “gets it” in a way that no one else can, because they are experiencing the same loss we are. We expect them to be just as sad, bitter, or confused as we are.
However, as with any other stressor or major life event, our partner may respond very differently to the experience of pregnancy loss. That is because the manner in which we process trauma varies as a function of our backgrounds, personalities, cultures, and unique ways of viewing the world. Therefore, while both partners will have their own emotional reactions to this loss, they may differ—and differ wildly.
For example, one partner may feel furious and betrayed by their body or the world, while another may just feel devastatingly numb. One may want to share their feelings with any passing stranger, while another may become withdrawn and reticent. Moreover, gender role stereotypes play a part in shaping how we believe people “should” react in the face of difficulty. Women are reinforced for expressing their emotions, so they more often express grief with outward displays of sorrow. Men, on the other hand, are encouraged to hide their feelings and remain stoic in the face of tragedy, so in times of crisis or grief they are more likely to assume the “fixer” role. These contrasting ways of responding can lead to disconnection and conflict as one partner may wonder, “How you are not as devastated as I am?” while the other partner feels overwhelmed and alone in taking responsibility for the family. Though these reactions may appear different on the surface, this is not to say that each partner is not grieving in their own way.
To gain greater perspective on how your partner is grieving—and to develop greater understanding regarding their experience—try completing the “Walk a Mile in Their Shoes” exercise. The point of this exercise is not to guess perfectly what your partner is experiencing, but to offer you the opportunity to further delve into their reaction and to hopefully increase your sense of compassion and connection toward them. If it’s helpful, you can read the entire story to your partner or, alternatively, you can share some realizations you developed from this exercise (e.g., “I realized that I’ve often told you that you weren’t saying the ‘right’ things or that I needed you to act differently. I imagine that was really confusing for you.”).
Maybe your reflections or guesses will be spot-on, or perhaps you will make interpretations that were not your partner’s experience at all. For most of us, it is not the accuracy of someone else’s questions or comments that matter to us, but their intentions in getting to know us. Therefore, your intention to truly understand your partner’s experience can go a long way in reconnecting you and strengthening your relationship.
Learn more about navigating the grief and loss surrounding a miscarriage in this companion article.
You can also find more information on how to move forward from the trauma and grief surrounding pregnancy loss in “The Miscarriage Map Workbook: An Honest Guide to Navigating Pregnancy Loss, Working Through the Pain, and Moving Forward.”
This is an adapted excerpt from “The Miscarriage Map Workbook” by Sunita Osborn, PsyD. Copyright ©2021, Sunita Osborn.
Sunita Osborn, PsyD, MA, is a licensed clinical psychologist who practices in Houston, Texas. An expert on the treatment of pregnancy loss, Dr. Osborn specializes in reproductive psychology and helps individuals and couples in all phases of the reproductive journey. She has been featured and interviewed on media outlets including NPR, With Whit, and several miscarriage-focused platforms.
Learn more about Sunita Osborn’s educational products, including upcoming live seminars.
About the publisher
For more than 40 years, nonprofit organization PESI, Inc., has provided cutting-edge continuing education to professionals across the nation. Working alongside the world’s leading experts, PESI educates and instructs the general public, public organizations, private industry, students, and professionals in acquiring, developing, and enhancing their knowledge and skills.