For Words at a Loss by Michael Baum + Andrew Kishler + Patricia Kishler

For Words at a Loss

The Church’s Response to Miscarriage & Stillbirth Needs More Work

by Michael Baum, Andrew & Patricia Kishler

The day after Memorial Day 2009, our family attended a very small funeral at St. Tikhon’s Monastery in the hills of northeastern Pennsylvania. The cemetery setting was lovely, the mourners few. The hand-dug grave was small and the coffin smaller still: a wooden box about six inches long, hand-crafted by a grandfather of the deceased.

We were burying our expected child, brother, and grandchild, who had lived only two months in his mother’s womb. Our hearts wept as the officiating priests read the Orthodox funeral service for infants, including a line that compared our departed child to “a ship that passes and leaves no wake behind.”

Like many such tragedies, the death of little Constantine made us starkly conscious of something we were largely oblivious of before, and it inspired considerable research and inquiry. We know now that death before birth is very common—so common that we can hardly believe how little attention it receives. Statistics on the frequency of miscarriage vary with source and definition, but the best estimates are in excess of 30 percent of all pregnancies.

Some authorities say that it is normal for couples to lose at least one unborn child, and only if it happens repetitively is medical intervention indicated. Yet society at large ignores the pre-born dead, and even our churches are often ill-prepared to deal with them and their bereaved parents, whether liturgically, pastorally, or theologically.

Hiding from Death

That society ignores or dismisses pre-born death is perhaps unsurprising. A nation in which more than a million pre-born infants are deliberately killed every year can hardly be expected to pay much attention to a few million more such deaths that occur naturally. Ignoring pre-born death is consistent with the way secular society routinely removes both birth and death from view—and miscarriage is both at the same time. Sterile language like “product of conception” obscures the reality of more accurate but emotional terms like “baby.” Even the word “miscarriage” can be deceptively clinical, connoting some failed abstract process rather than a real human death.

The majority of those in the medical profession seem to regard pre-born death purely as a condition to be treated, rather than as the loss of a family member. Our bereaved mother, Patricia, received excellent and sympathetic care from her local providers, but little understanding that there was a baby involved. When she brought to their office the tiny amniotic sac and its contents, which she had retrieved after the miscarriage, in case they needed to do any tests, the doctor—a Romanian and presumably born into the Orthodox Church—asked: “What are you going to do with it?” Patricia’s response, “Bury it,” met with a blank stare of incomprehension. Resolution of the immediate medical situation seemed to spell an end to the entire incident, in the view of this medical group.

A much more helpful response came from her Chicago-based family-practice physician, also Orthodox and a great advocate of home childbirth. He gave her much helpful advice over the phone, including: “You have given birth. Rest a lot for the next two weeks. And name the baby.”

Naming the child did help Andrew and Patricia immeasurably in getting through the crisis, and is actually one of this doctor’s recommendations for all pregnant mothers early in their pregnancy, to begin their relationship with the baby as a human being. Indeed, many sources on pregnancy loss, both Christian and secular, recommend naming the child as, at the very least, a way of humanizing the loss and making remembrance easier.


Michael Baum is a management consultant, former English teacher, and writer with degrees in English literature and education from Yale University and an MBA from Northwestern. He and his wife live near Madison, Wisconsin, where they attend St. Ignatius Antiochian Orthodox Church. Their three adult children and five grandchildren attend Orthodox churches in Illinois, Wisconsin, and Indiana.

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