[Skip to Content]
[Skip to Content Landing]
Views 8,763
Citations 0
A Piece of My Mind
September 8, 2020

The Silence and Sorrow of Miscarriage

Author Affiliations
  • 1Department of Neurology, Massachusetts General Hospital, Harvard Medical School, Boston
JAMA. 2020;324(10):941-942. doi:10.1001/jama.2020.15959

My miscarriage came in the women’s restroom of a Valero gas station in Dilley, Texas, home to fracking, private prisons, and about 4000 people. The cramps had been mild that morning, so mild that I had strolled into a coffee shop in San Antonio, purchased a cheese and fruit box, and thanked the barista at the checkout counter sounding cheery and bright. During the car ride, the cramps grew stronger and bigger, trying to urge attention. I squeezed some honey peanut butter onto an apple slice, shifted in my seat, and chewed silently. I was riding with an attorney whom I had just met 24 hours prior. I was joining her on tours of immigration detention centers in Texas. We were driving from San Antonio to the US-Mexico border at Laredo, a long, straight drive past stretches of oil rigs and truck stops. I had not yet begun the rituals of sending pregnancy announcements or shopping for maternity clothes.

Limit 200 characters
Limit 25 characters
Conflicts of Interest Disclosure

Identify all potential conflicts of interest that might be relevant to your comment.

Conflicts of interest comprise financial interests, activities, and relationships within the past 3 years including but not limited to employment, affiliation, grants or funding, consultancies, honoraria or payment, speaker's bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued.

Err on the side of full disclosure.

If you have no conflicts of interest, check "No potential conflicts of interest" in the box below. The information will be posted with your response.

Not all submitted comments are published. Please see our commenting policy for details.

Limit 140 characters
Limit 3600 characters or approximately 600 words
    1 Comment for this article
    Thank You
    Betsy Blazek-O'Neill, MD | Allegheny Health Network
    Thank you for sharing this. Miscarriage is always sad and a little lonely, no matter how or where it occurs, and as you so eloquently expressed, hard to speak of. Because I was lucky enough after my miscarriage to have two normal pregnancies and births, I am in a strange way grateful that I can empathize when a woman discloses her miscarriage history to me, either in a personal or clinical setting. It is a unique kind of sadness.
    CONFLICT OF INTEREST: None Reported
    ×