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Grief after pregnancy loss was predicted by length of pregnancy, neuroticism, psychiatric symptoms, and absence of other children

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To determine the factors that predict grief intensity in women who have a pregnancy loss.


Inception cohort of women followed up for 18 months after an involuntary pregnancy loss.


The Netherlands.


2140 recently pregnant women recruited through a notice in a popular family magazine provided information on coping with normal pregnancy, delivery, and complications. 227 women (10.6%) subsequently reported spontaneous loss of the pregnancy and 221 of these were studied. 91% of the losses occurred at <20 weeks of pregnancy, 97% of the women were married or in stable relationships, mean age was 29 years, 32% did not have children, and 41% had had a previous pregnancy loss. Follow up was 94%.

Assessment of prognostic factors

Risk factors were assessed using …

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  • Source of funding: Foundation VSB (Verenigde Spaarbank) Fund.

  • For article reprint: Dr H J Janssen, University of Nijmegen, Department of Clinical Psychology and Personality, Montessorilaan 3, Postbox 9104, 6500 HE Nijmegen, the Netherlands. Fax +31 24 361 5594.