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Ambiguous Loss: The Silent Grief of Early Pregnancy Loss

  • Writer: Dr. Sanam Shamtobi
    Dr. Sanam Shamtobi
  • Oct 7
  • 3 min read
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You might not have told many people. You may not have had an ultrasound photo or chosen names yet. But the moment you saw two pink lines, your heart started weaving a story.


You imagined who this baby might be, how life would change, and where you’d be in just a few short months.


And then—quietly, unexpectedly—that story ended.


Early pregnancy loss often happens behind closed doors, but the grief it brings is profound. It’s not only about what happened, but also about what could have been—what was already forming in your mind, your heart, and your body.


What Is Ambiguous Loss?

Psychologist Pauline Boss first described ambiguous loss as a type of grief that lacks clear resolution or closure. Unlike other losses, which often involve a funeral, public mourning, and acknowledgment, ambiguous loss is usually unseen and unspoken.


In the case of early pregnancy loss, the loss is both physical and emotional, yet rarely recognized in the way it deserves.


You may feel this ambiguity if:


  • There’s no tangible evidence of the baby you were growing.

  • Few (or no) people knew you were pregnant.

  • You question your right to grieve because it happened “early.”


But grief isn’t measured in weeks. It’s measured in attachment—in the dreams and love that began forming the moment you learned you were expecting.


Why Early Pregnancy Loss Feels So Lonely

The grief of early loss is often compounded by silence. You may hear well-meaning but painful phrases like:


  • “At least it was early.”

  • “You can try again.”

  • “Everything happens for a reason.”


These comments often come from a place of care, but they can leave you feeling unseen. What you need isn’t perspective—it’s permission. Permission to grieve. To pause. To feel the weight of what was lost, even when the world keeps moving.


The Body-Mind Disconnect

One of the most disorienting parts of early pregnancy loss is the disconnect between your body and your emotions.


Hormones like progesterone and hCG don’t drop overnight. You may still feel nauseated, tender, or fatigued—even after your miscarriage has physically ended.


Your body may still feel pregnant while your heart has already begun to grieve. It’s a complex and tender space to navigate—one that requires time, care, and compassion.


The Role of Commemoration in Healing

Because early loss often happens privately and without ritual, many grieving parents find comfort in creating their own ways to remember.


Commemoration doesn’t have to be elaborate—it just needs to feel meaningful to you. Some ideas include:


  • Planting a tree, flower, or small garden in memory

  • Lighting a candle on your due date or on significant days

  • Wearing a piece of jewelry that symbolizes your baby

  • Write a letter or journal entry to the child you didn’t get to meet.

  • Choosing a name or word that honors the baby’s presence in your life


For many, these quiet rituals create a bridge between grief and healing, helping integrate the experience into the larger story of their lives—without rushing, without forgetting, and without the pressure to “move on.”


There’s No Timeline for Healing

Everyone grieves differently. Some people feel ready to move forward within weeks. For others, waves of sadness rise and fall over months or even years.


You might find that certain moments reopen the ache—walking past the baby aisle, seeing a pregnancy announcement, or getting your period again. These aren’t signs that you’re “stuck.”

They’re reminders of a profound attachment that deserves space and tenderness.


Healing after miscarriage isn’t about reaching a finish line—it’s about allowing your grief to evolve while giving yourself permission to rest and be held along the way.


You’re Not Alone, Even If It Feels That Way

Early pregnancy loss can feel invisible—but your experience, your pain, and your love are real.

At The Motherhood Los Angeles, we hold compassionate space for the grief that others may not see. Our therapists help women process early loss, navigate the emotional and physical aftereffects, and find healing that honors both their sorrow and their strength.


Schedule a free consultation today to talk with a therapist who understands. You don’t have to navigate this loss in silence. Healing is possible—on your terms, and in your time.





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