Our work focuses on miscarriage. It is not the only way a pregnancy ends, and if you are here after a different kind of loss, much of what is on this site may still be for you. This page is a short map of what else there is, and of who covers it better than we do.
A pregnancy lost at or after twenty weeks. It is counted separately from miscarriage, cared for differently, and carries its own grief, and it has organizations working on it with far more depth than we could bring. If that is why you are here, start with them rather than with us.
Sometimes a wanted pregnancy is ended after a diagnosis, aneuploidy, a severe anomaly, or a risk to the mother's own health. That is a loss. People who have been through it often say that ordinary pregnancy-loss support does not quite fit, because the grief arrives with a decision attached to it, and with other people's opinions about that decision. Nothing here assumes otherwise, and nothing here assumes it could have gone another way.
A pregnancy that implants outside the uterus cannot continue, and treating it is often urgent enough that the loss itself gets dealt with last. Molar pregnancy is rarer again, and brings months of follow-up that most people have never heard of until it happens to them. Both are losses, and both leave the same questions about what happened and what it means for trying again.
Because that is where the gap is largest. Miscarriage ends somewhere around a third of pregnancies counted from four weeks, and almost none of that is matched by research: no routine workup after a first or second loss, very few treatments that have been properly tested, and no dedicated institute whose job it is. We picked the most common outcome that nobody studies. That is a judgement about neglect, not about which loss counts.
Several of the factors in our evidence library, antiphospholipid syndrome, thyroid disease, diabetes, appear in the literature on later loss as well. We would not claim that treating them prevents both, and we have not reviewed that evidence. What we would say is that the biology of an early pregnancy failing does not stop being relevant at twenty weeks, and that work on the causes of miscarriage is unlikely to help only miscarriage.