Pregnancy Loss: Grief Reflection
A gentle grief worksheet for pregnancy and perinatal loss with prompts to honour the baby or pregnancy, name feelings and hardships, identify support and consider remembrance.
2-page fillable PDF · US Letter (prints on A4) · Grief support
- Approach / concern
- Perinatal & Postpartum
- Technique
- Grief support
- Format
- Fillable PDF, 2 pages (US Letter / A4)
- Access
- Pro and Advanced plans (3-day free trial)
- For
- Licensed clinicians to use with clients
- Updated
- October 2026
Key facts
What is the Pregnancy Loss: Grief Reflection?
Pregnancy loss, including miscarriage, ectopic pregnancy, stillbirth and termination for medical reasons, can bring profound grief that is often unrecognized by others (disenfranchised grief). Acknowledging the loss and its meaning supports healing.
Why it works
Significant proportions of women experience post-traumatic stress, anxiety and depression after early pregnancy loss (Farren et al., 2020). Disenfranchised grief can complicate mourning when losses are not socially recognized (Doka, 2002).
When to use it
- After miscarriage, ectopic pregnancy or stillbirth
- Termination for medical reasons
- Partners grieving a loss
- Subsequent pregnancy anxiety
How to use it in session
- Acknowledge the loss as real and significant.
- Let the client choose which prompts to explore.
- Validate all feelings, including guilt and anger.
- Explore support and remembrance options.
- Screen for depression, anxiety and PTSD.
Clinician tips
- Use the language the client uses (baby, pregnancy, name).
- Include partners and non-birthing parents.
- Be sensitive around subsequent pregnancies and other people’s pregnancies.
Worked example
Sharing with clients
Members can download the PDF to print or email, or copy a private client link from the download box. Your client opens the link and downloads the worksheet on any device. No client account is needed, and nothing your client writes is stored on TherapyAid.
Frequently asked questions
Is it normal to grieve an early miscarriage this much?
Yes. Grief isn’t measured by weeks of pregnancy. Your loss and feelings are valid.
Do partners grieve pregnancy loss too?
Yes. Partners often grieve deeply but may feel overlooked. Support for both is important.
References
Farren, J., Jalmbrant, M., Falconieri, N., Mitchell-Jones, N., Bobdiwala, S., Al-Memar, M., et al. (2020). Posttraumatic stress, anxiety and depression following miscarriage and ectopic pregnancy: A multicenter, prospective, cohort study. American Journal of Obstetrics and Gynecology, 222(4), 367.e1-367.e22.
Doka, K. J. (Ed.). (2002). Disenfranchised grief: New directions, challenges, and strategies for practice. Research Press.
This worksheet is an educational tool for use by, or under the guidance of, a licensed or registered mental-health professional. It is not a diagnostic instrument or a substitute for clinical judgement. If a client is in crisis in Canada, call or text 9-8-8 or call 9-1-1.
