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Perinatal · Loss

Pregnancy Loss Worksheet

Miscarriage, stillbirth, TFMR, ectopic — all real

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Miscarriage, stillbirth, TFMR, ectopic — each carries its own grief. This sheet is for whatever loss brought you here, and honors that the world often minimizes it.

What was lost
The baby, the pregnancy, the future you imagined, an identity, a relationship
What I want to remember
What people have said that hurt — and what I wish they'd said instead
A ritual that would honor this loss

This is a real grief

Any pregnancy loss, at any gestation, for any reason, is a real loss. It deserves witnessing.

References & further reading

Conceptual background and further reading, not validation of this handout. Named instruments and methods belong to their original authors; custom prompts and trackers are not validated versions of those instruments.

  • Sacks, A., & Birndorf, C. (2019). What No One Tells You: A Guide to Your Emotions from Pregnancy to Motherhood. Simon & Schuster.
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