It is possible to have a healthy pregnancy after miscarriage. In fact, for most women, it’s very likely. However, this may be of little comfort if you are mourning the loss of your child. If you are pregnant again, you may be feeling a whirlwind of emotions as you simultaneously grieve for your unborn child and anticipate your new baby’s arrival.

Experiencing Pregnancy After Miscarriage

In most cases, a miscarriage is unlikely to happen again. However, many couples choose to speak to a fertility counselor. He/she can pinpoint any factors that may have contributed and determine if there are steps you can take to minimize the risk of reoccurrence.

Even if you fear the worst, it’s likely that you will have a very normal pregnancy after miscarriage. According to the American Pregnancy Association, over 85 percent of women who have had one miscarriage will be able to have a successful following pregnancy. More than 75 percent of those who have experienced two or three miscarriages will eventually give birth to a child.

Many women who have gone on to have a second child after a miscarriage say the joy of becoming a parent helps to dull the pain they feel over the loss of their first child. In fact, it’s quite common for women to consider their second children to be “miracle” babies.

Finding Closure

To fully enjoy your current pregnancy, you must come to terms with the loss you have experienced. Many women who have become pregnant after miscarriage say it helps to express their feelings through painting, poetry, music, or other creative outlets. Others choose to bury baby blankets, toys, ultrasound photos, or small mementos in a private family ceremony. You may also want to consider making a charitable donation to your favorite non-profit organization in honor of your lost child.

While there is no definite timeframe for the grieving process, it’s important to recognize the signs that professional help may be needed. If you are experiencing any of the following, considering making an appointment to speak to a qualified counselor or therapist:

* Trouble coping with everyday tasks
* Overwhelming fear or anxiety about your current pregnancy
* Feelings of guilt about what you may have done to “cause” your miscarriage
* Anger towards your spouse or other loved ones
* Extreme pessimism about your current pregnancy
* Frequent emotional outbursts
Available Support Services

Since it can be difficult for those who haven’t experienced a pregnancy loss to understand your feelings, you may want to consider taking advantage of support services designed for women who have miscarried.

Many hospitals provide support groups for women who have experienced a miscarriage. There may also be organizations in your community that can help. Your healthcare provider or your local women’s center should be able to provide you with contact information for these resources.

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Varenicline (Champix) is the first non-nicotine drug developed specifically to help smokers give up, and was licensed in the UK in 2006.

The National Institute for Health and Clinical Excellence said the drug should normally be given alongside counselling and support.

Final guidance is due in July - the start of the smoking ban in England.

Varenicline, produced by Pfizer, is unusual as it both stimulates and blocks specific nicotinic receptors in the brain.

The FDA has approved a revolutionary new approach to help smokers kick the habit.

With 45 million smokers and tobacco causing nearly one third of all cancer deaths in the U.S., the American Cancer Society is calling the new smoking pill welcome news.

The FDA has approved the first new drug in almost a decade to help people stop smoking.

Some say the cravings for nicotine are just too strong to quit for good. Now there’s a new option - a prescription pill called chantix. It tricks the brain into feeling full of nicotine.

For people who try to stop smoking on their own, 19 out of 20 will light up again. In six clinical trials involving more than 4,000 people, the new drug helped one in five people quit and it worked better than placebo and better than other drugs currently on the market to help people quit.

However, the long-term benefit isn’t clear.

“The quit rates were pretty good at one month and at six months,” said Dr. Marc Itskowitz, of Allegheny General Hospital internal medicine. “Unfortunately, at one year, patients who were on this new medication, only 20 percent had quit smoking.”

Some people had nausea, vomiting, and headaches with the new medicine and it’s not for everyone.

Chantix wasn’t studied in people with diabetes, high blood pressure, kidney or liver problems or in pregnant or breast-feeding women.

It costs about $150 a month for a three month treatment. It can be repeated for another course if necessary.

Even though chantix only improves your chances of quitting slightly, it is an increased chance. With more than 400,000 deaths each year from tobacco-related illness, thousands of lives could be saved for people who kick the habit for good.

Smoking is the leading cause of preventable death in the United States and worldwide. Currently available pharmacotherapies for smoking cessation include nicotine replacement therapy (NRT)–such as gum, skin patches, tablets, nasal spray and inhalers–and the antidepressant drugs bupropion hydrochloride and nortriptyline hydrochloride. These have shown limited success rates, with success at one year averaging approximately seven percent to 30 percent, according to background information in the articles.

The new drug varenicline tartrate mimics the effects of nicotine to help offset cravings, and in the presence of nicotine it helps suppress some of the reinforcing effects of smoking.

Mitchell Nides, Ph.D., of Los Angeles Clinical Trials, and colleagues with the Varenicline Study Group conducted a randomized, double-blind, placebo-controlled study to evaluate the efficacy, tolerability and safety of varenicline for smoking cessation. Healthy smokers aged 18 to 65 years were randomly assigned to receive varenicline in a dosage of .3 milligrams once daily, 1 milligram once daily, or 1 milligram twice daily for six weeks, plus placebo for one week; to 150 milligrams of sustained-release bupropion hydrochloride twice daily for seven weeks; or to placebo for seven weeks.

The authors report that varenicline, in combination with brief behavioral counseling, was more effective for short- and long-term smoking cessation than placebo.

“Efficacy improved as the dose increased, with varenicline tartrate, 1 milligram twice daily, providing the highest rates of continuous abstinence across all treatment groups, including bupropion,” they write. Four-week continuous quit rates were 48 percent for varenicline, 1 milligram twice daily; 37.3 percent for varenicline, 1 milligram daily; 33.3 percent for bupropion hydrochloride; and 17.1 percent for placebo. Long-term quit rates from four weeks to one year were 14.4 percent for the group that received varenicline, 1 milligram twice daily, vs. 4.9 percent for placebo.

“In this study, varenicline tartrate, 1 milligram twice daily, effectively helped subjects quit smoking, with response rates three times higher than those for placebo while demonstrating a good tolerability profile in this population of smokers who on average had smoked approximately 20 cigarettes per day for approximately 24 years,” the authors write. “Efficacy was maintained in the non-drug treatment phase through week 52. The significant reductions in craving and in some of the rewarding effects of smoking seen with varenicline tartrate, 1 milligram twice daily, may assist in promoting abstinence and preventing relapse,” they conclude.