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Miscarriage

Although statistics come as little comfort when you lose your baby, it may still help to remember that one in four women go through miscarriage at some point in their lives (1).

About 10 – 20% of pregnancies end in early miscarriage, i.e. within the first 12 weeks. Late miscarriages happen in about 1 – 2% of pregnancies (2).

Repeat miscarriage - when a woman experiences three or more miscarriages in a row - affects about 1% of women trying to conceive (3).

On this page you can read about:


Definition of miscarriage in Belgium

The exact definition of miscarriage and stillbirth in Belgium is somewhat confusing.

Under Belgian legislation, the loss of a baby before 22 weeks gestation or with a birth weight of less than 500g is considered a miscarriage (4).

However, it is not until 180 days of pregnancy (i.e. almost 26 weeks) that a stillborn baby can be officially registered – and therefore officially named with the Belgian authorities. For babies born just before this cut-off, hospitals are known to offer to adjust the dates of the pregnancy to allow families the maximum of rights in terms of naming, declaration, and other administrative aspects.

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What to expect if you have a miscarriage

The websites of two UK charities - the Miscarriage Association and Tommy’s - provide a great deal of clear information in English about:

      • signs and symptoms of a miscarriage
      • what ultrasounds scans can show
      • surgical, medical and natural management of miscarriage
      • possible causes of miscarriage

They also give information about ectopic and molar pregnancies.

BabyCentre is also a useful resource for information about pregnancy loss.

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Who can look after me in Belgium?

This will depend on what stage you are in your pregnancy, whether or not you are already seeing a care provider for prenatal care, and what symptoms you are experiencing. Depending on your situation, you may decide to visit your family doctor, midwife, gynaecologist, family planning centre, or hospital emergency department.

 

Repeat miscarriages

Many women will experience at least one miscarriage in their lives, and most will go on to carry a baby to term. However, about 1% of women experience repeat miscarriages – i.e. three or more miscarriages in a row (3). If you have experienced several miscarriages, you might like to seek specialist medical advice to explore why this might be happening.

Most fertility centres offer investigation into repeat miscarriages, including genetic testing, and other tests to try to establish a cause and find solutions. For example, the Centrum voor Reproductieve Geneeskunde (CRG or Centre for Reproductive Medicine) at the Universitair Ziekenhuis Brussel (UZ Brussel) has a support and treatment programme for women who experience repeated miscarriages.

Their website gives an overview of possible causes, medical examinations you might be offered, and options for support and treatment.

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Support and coping with loss

We all cope differently with loss, and there is no right or wrong way to feel about a miscarriage.

The UK’s Miscarriage Association has put together a helpful document that looks at how loss might affect you and your partner, and those around you, and also suggests some ways to help you cope. As well as containing lots of useful information, the Miscarriage Association's website also has a forum.

In Belgium, the Brussels Childbirth Trust (BCT) has an ‘Experiences Register’ – this allows BCT members to be put in touch with other members who have experienced miscarriage, and who can offer support and advice. 

Waterloo-based mum Joanne Fraser has set up a support group, Pregnancy and Infant Loss Support Belgium, for the loss of a pregnancy, stillbirth, infant death, conceiving or expecting after a loss. "It is a terrible thing to have to go through the loss of a baby in a foreign country away from family and friends. Even worse is not having anyone to speak to about it." Joanne has been involved in grief support for a while now and - having not really found a group here in Belgium - decided to start one. The group currently has a closed Facebook group, which gives an opportunity to meet and support each other. Email This email address is being protected from spambots. You need JavaScript enabled to view it. for further information or to be added to the Facebook group.

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Are there any administrative formalities if I have a miscarriage?

Under Belgian law, if you have a miscarriage or your baby is stillborn after a pregnancy that lasted less than 180 days, the birth does not need to be registered. The miscarriage, however early, will remain on your medical/gynaecological history.

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Can our baby be buried/cremated?

If your baby was miscarried or stillborn between 12 weeks and 180 days of pregnancy, you can request that he/she can be either buried in a special section of your commune’s cemetery or be cremated and the ashes scattered in a special section of your commune’s cemetery – all communes should have a small area of their cemetery reserved for the burial of babies who were stillborn before 180 days of pregnancy, and for the scattering of ashes. Neither the parents’ nor the baby’s name will appear at the cemetery.

In this case, your doctor or midwife can make the request to the commune. A funeral home will take care of the transport of your baby.

 

Funeral costs

While Belgian mutuelles will contribute to funeral costs for a baby who was born but died shortly after birth, this is not the case for babies who are miscarried or stillborn – in both of these cases, the baby has never officially been registered as a ‘dependent’ of either parent. Even a simple funeral/cremation can cost close to €1000. 

Some employers may offer to help with funeral costs. Your HR department should be able to advise you if this is the case.

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Worth knowing

      • Bills for medical care related to your miscarriage, e.g. consultations, blood tests and ultrasounds, can continue to come for quite a while after the miscarriage, which may feel like insensitive reminders as you are trying to come to terms with your loss.

      • After a miscarriage, you are still entitled to partial reimbursement of perinatal physiotherapy sessions. Depending on when you lost your baby, you may feel the need for e.g. pelvic floor strengthening.

      • You are only entitled to maternity leave and the related payments if your baby is stillborn after 180 days of pregnancy or is born but dies soon after birth (however long the pregnancy lasted). If your baby is stillborn before 180 days of pregnancy, your doctor may be able to provide you with a medical certificate saying you are unable to work for a certain period (‘incapacité de travail’ / ‘arbeidsongeschiktheid’).

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References

(1) Symonds IM. 2009. Abnormalities of early pregnancy. In: Fraser DM, Cooper MA. eds. Myles Textbook for Midwives. 15th ed. Edinburgh: Churchill Livingstone, 313-32
(2) Royal College of Obstetricians and Gynaecologists (2008) Early miscarriage: information for you
(3) Royal College of Obstetricians and Gynaecologists (2008) Recurrent and late miscarriage: tests and treatment of couples 
(4) 17 JUIN 1999 - Arrêté royal prescrivant l'établissement d'une statistique annuelle des causes de décès / 17 JUNI 1999 - Koninklijk besluit waarbij het opmaken van een jaarlijkse statistiek van de overlijdensoorzaken wordt voorgeschreven
http://www.ejustice.just.fgov.be/cgi_loi/change_lg.pl?language=fr&la=F&cn=1999061735&table_name=loi (in French)
(5) http://www.hospichild.be/en/after/in-case-of-death/legislation-and-procedures/all-pages
(6) http://www.voeren.be/fb111hokd894ufic0pxhb10.aspx?eyelng=2

 

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