Early pregnancy bleeding occurs in one in four pregnancies. Approximately one third of women who experience early pregnancy bleeding will go on to miscarry whilst two thirds will have a live birth.¹

Whether or not the pregnancy eventually continues, early pregnancy bleeding is often a cause of significant stress and anxiety. Miscarriage can often have a profound emotional impact which can affect not only the woman herself but also her partner and family. For many, the psychological effects may persist for years and intensify with recurrent losses.

Despite its frequency and impact, miscarriage remains an area where both clinical management and emotional support can be improved.

Drawing on the 2025 RANZCOG guidelines² and contemporary research, this article provides evidence-based clinical guidance and practical insights to enhance the support and care provided to individuals and families affected by miscarriage.