[Psychological and mental aspects and "tender loving care" among women with recurrent pregnancy losses].

ABSTRACT

Recurrent pregnancy losses (RPL) represent psychological trauma. This may be due to the fact that in about 50% of the cases the etiology is not found and also as a result of the fear of the results of the next pregnancy. Patients with RPL develop different psychological and psychiatric effects after pregnancy losses. This article reviews the Literature on the psychological aspects that develop after RPL, including depression, anxiety, post-traumatic stress disorder (PTSD) and obsessive compulsive disorder (OCD). In addition to psychological effects due to spontaneous pregnancy loss, only a few studies discuss the psychological and psychiatric treatments for these issues. One of the most common and well-accepted forms of treatment, especiaLly for those with idiopathic RPL, is tender Loving care (TLC). Studies have shown that these treatments may have a significant impact on the chance of a live birth rate in the next pregnancy. In the Soroka University Medical Center a very clear protocol exists including supportive care for couples with RPL. In general, the live birth rate for these couples after admitting to the RPL and performing the evaluation is around 80%.