This article summarizes the research detailing factors relevant to the identification and estimation of medically defined miscarriages, and describes research highlighting the psychological effects and individual social context of miscarriage. Specifically, issues of culture and social psychological interpretations of miscarriage are discussed in this article, and suggestions for improvement of follow-up care are discussed. The research reviewed shows there is a need for immediate and longer term recognition of the psychosocial effects of miscarriage and support for women, particularly those not supported within their social network, and emphasizes the need to be culturally aware when addressing health policy and healthcare needs of different populations undergoing similar reproductive losses.