RESUMEN
Recent years have seen significant growth in the body of knowledge and the development of guidelines on pregnancy loss. This qualitative study analyses how these advancements have been implemented with a focus on health literacy, hospital protocols, and societal responses. Thematic analysis of semi-structured interviews from bereaved parents (n = 11) and healthcare professionals (n = 7) in Italy uncovers significant lapses in health literacy and societal reluctance to address pregnancy loss, which obstructs informed parental decision-making. The research indicates a movement toward more sensitive healthcare, yet disparities remain in the treatment of early versus later losses and uneven psychological support provision. The research underscores the need for standardized practices and combined psychological care for both parents and for reform in legal policies regarding bereavement and maternity leave. Despite progress in institutional and societal approaches to managing pregnancy loss, considerable challenges persist.