Guest Post: Advice from a Pharmacist: What YOU can do when someone has a miscarriage

There are many things in life you can’t learn from a textbook.  I stumbled across this post yesterday and felt the need to share it with my followers.

Thanks to Crazy RxMan for sharing!  Please check out his blog!

Valentine’s Day, a day of love and the celebration of love. There will be many babies conceived on this day, but not all will be born. And that’s why I share my thoughts with you today… advice from a pharmacist FOR pharmacists, but the same ideas are for anyone who knows the mother of an angel.

A few years ago I had a close friend lose a baby. She was so thrilled and so happy. I look at photographs of her at the time and her face was just beaming. It was so thrilling and exciting. But tragedy started when she started to spot. She reached out to me for help and I didn’t know what to do. I am a doctor of pharmacy, but I didn’t know what to do. It was all very heart-wrenching and sad, and I just can’t believe that I didn’t know what to do and didn’t try to help her. To this day and with all my heart I regret my actions (and inaction) at the time. 

As pharmacists, we are in a unique position as healthcare providers, especially community and/or retail pharmacists. We are literally open to the public every day and have a responsibility to help those in need. Although not very common, there are occasions where you will encounter a patient that recently had or is having a miscarriage. They often come to the pharmacist for advice because we are so accessible and are in the top five most trusted professions. We have a duty to be ready to help in any way we can.

As pharmacists we know what medications to avoid in pregnancy. We can also recommend anxiety medications, depression medications, and even know what the doctor needs to prescribe if the bleeding gets out of hand, but… that’s academic. Often its the patient trust for the pharmacist and she wants a shoulder to lean on and a listening ear. But what do you say? Our training is in medication, not psychology.Here’s some hints and tips from what I’ve learned:

1. If you’re in the pharmacy, take her to a quiet spot… the waiting room, or somewhere private away from the noise and listening ears. You want to give her 100% of your focus and time. The metrics can wait. THIS is no longer about some guy getting his generic Lipitor filled in 3.5 minutes. This is a genuine opportunity to help someone, and that’s WHY you went into pharmacy in the first place.
2. LISTEN to her. What she’s going through right now is uniquely tragic to her. This is something she may have never experienced before and the depths of complete despair are deep. She wants to unleash her feelings of sadness and disappointment. Let her do it and be supportive. Let her direct the conversation. Don’t interrupt.
3. NEVER say something like “You can try again” or “Everything happens for a reason.” Why? Because you don’t know that. You don’t know the situation, and moreover, the little spirit and life that was lost cannot just be replaced like a car part. He or she was a unique individual with his or her own personality. You wouldn’t suggest to your grandmother that she can “try again” when grandpa passes away, would you? No. Let her grieve and mourn the unique soul that was lost.
4. Don’t say “I know how much it hurts.” Instead, listen to her as she tells you how much it hurts. Even if you’ve had a miscarriage yourself, you still don’t know her unique situation. Be gentle, be kind. Pain of the heart is the worst kind of pain. She may dream about the loss all night long, then wake up and think about it all day long, wondering what she did wrong, wondering why God kept her from having children, wondering “Why me?” until she cries herself to sleep at night. Empathize with that pain.
5. Don’t say “It’s part of Mother Nature’s or God’s plan.” That may very well be, or it may be that God wanted her to have that baby just as much as she did. We don’t know everything about this life. It’s a good bet we know even less how it works on the other side. If she is having a crisis of faith, be supportive and try to understand it from her point of view as she finds answers for herself. You couldn’t possibly have answers in this regard, only opinions, and she doesn’t need those.
6. NEVER tell her to stop feeling sorry for herself. A little life, full of love and personality, was just lost. She will always, always wonder what this little person could have been in her life, someone to hold and cherish and raise. That’s NOT something you just get over. In fact, you NEVER get over it, you only deal with the pain. So never say anything like that. A better thing to say is “Nothing in the world could have prepared you for this and I’m so sorry you have to go through it.”
7. If would be easy to just say you can’t imagine their pain. Instead of that, try to imagine what it would be like to have a little person growing inside you. Imagine the excitement, thinking of a baby name, buying little socks, building a crib, etc. Then imagine that all taken away from you. Now do you understand why this is so hard on her? Now you’ll want to hug her and hold her and console her if she’s willing.
8. Refer as necessary to people and organizations equipped for this tragedy. A good place to start is here.
I don’t pretend to an expert on the subject, but I’m a pharmacist and as a healthcare provider, I want to be ready for the next time this happens to me. You may never have this happen to you, but be prepared in case it does happen!
Also remember…
Dad's hurt to from Crazy RxMan
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  1. Mel

    I have some experience with this. I recommend just listening, being empathic and saying nothing more than “I’m so sorry”. Saying anything more than that can be a major mistake. You really can’t even say “is there anything I can do for you” because there isn’t anything you can do other than listen and make sure she’s seen by her OB GYN.

    • chri1599

      Thanks Mel!

  2. Zarni Win

    I’m also a community pharmacist but I’ve no such experience. I can get knowledge and I can know how much duties pharmacists perform from your post. We must be ready to help patients all the time.Thanks.

  3. Emma

    I’ve had this very sad conversation so many times over the years…and it never gets any easier. “I am so very sorry” and ” I’m here,whenever you’d like to talk,to not talk, or you just need a shoulder” never seems like enough. I have been through this heartbreak myself, but as you said so very correctly, every situation is different. Thanks so much for writing about this very difficult topic with such sensitivity, I appreciate it! Other patient interaction topics like how to handle a patient with a new terminal diagnosis,or even just a new, scary diagnosis like diabetes,would be great. And I’d really love to hear how you recommend handling suicide threats from patients, that’s definitely nothing that ever got covered in school! Thanks again!

  4. Ikutemi

    I once had a one time experience. Listening was the key I used on that day. But I’m quite happy I got the complete package. Thanks..

  5. Tamal Das

    How do I know I am category-A pharmasist or not?


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Written By Eric Christianson

February 15, 2015

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