Abstract
Miscarriage can induce psychological distress. When it occurs frequently, other kinds of suffering could result. In the field of gynecology and obstetrics, physicians have executed various novel ideas, such as spending sufficient time for each routine checkup, introducing counseling and providing medical knowledge about recurrent miscarriage (RM) in order to relieve patients with RM and stop excessively increasing sadness and anxiety. These approaches could contribute to improvement of fertility rate, especially for unexplained RM. Verification by a randomized controlled trial (RCT) is needed. On the other hand, we conducted individual sessions of cognitive behavioral therapy (CBT) for RM patients whose depression and anxiety continued even after these efforts. In general, it is evident that CBT for depression or anxiety is effective. Still, we need to implement RCT to show the effectiveness for not only depression and anxiety but also for improved birthrates of RM patients. It is hard to use medication for women who expect to be pregnant in the near future. In Britain, CBT is classified into two levels of intensity; low and high. Low intensity CBT includes a group setting or web site utilization, while high intensity involves individual CBT by skillful therapists. We hope to contribute to the healthy life of women with RM by taking advantage of low and/or high intensity CBT.
