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However, there is a need for research evidence that offers clarity in relation to potential predictors of psychological distress and wellbeing among this neglected population of women. This paper aims to explore physical and experiential factors associated with miscarriage-related psychological distress and wellbeing among women who had experienced RPL.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Adopting a mixed methods approach, the paper presents a secondary analysis of data which assessed the perceived impact of miscarriage experience as measured by the Revised Impact of Miscarriage Scale (RIMS) in a cross-sectional survey of (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009839) women in Northern Ireland and thematic analysis of qualitative interviews with a sub-sample of the women (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200910) who experienced RPL.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Quantitative analysis indicated that women who experienced two or more losses reported significantly greater miscarriage-related distress when compared with those who experienced one miscarriage. This was true for the \u2018Devastating Event\u2019 and \u2018Loss of Baby\u2019 RIMS subscales, however, differences between groups related to \u2018Isolation and Guilt\u2019 were non-significant. Qualitative analysis identified themes consistent with the RIMS. These included potential predictors of distress such as devastating memories, anticipated loss and disenfranchised grief, as well as feelings of isolation and guilt stemming from social stigma and inadequate support.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The experience of RPL is extremely distressing, with the potential to lead to maternal morbidity. To support women\u2019s reproductive health and rights, compassionate healthcare that includes mental health and memory-making support are important during miscarriage and subsequent pregnancies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12905-025-04079-2","type":"journal-article","created":{"date-parts":[[2025,11,3]],"date-time":"2025-11-03T10:07:43Z","timestamp":1762164463000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Recurrent pregnancy loss, psychological distress and wellbeing support for women: a mixed-methods analysis"],"prefix":"10.1186","volume":"25","author":[{"given":"\u00c1ine","family":"Aventin","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin","family":"Robinson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan","family":"White","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martina","family":"Galeotti","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,11,3]]},"reference":[{"issue":"10285","key":"4079_CR1","doi-asserted-by":"publisher","first-page":"1658","DOI":"10.1016\/S0140-6736(21)00682-6","volume":"397","author":"S Quenby","year":"2021","unstructured":"Quenby S, Gallos ID, Dhillon-Smith RK, Podesek M, Stephenson MD, Fisher J, et al. 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