To explore the effect of work-related stress on women who experienced miscarriage during the COVID-19 pandemic.

Secondary qualitative analysis using a qualitative descriptive approach.

Participants completed interviews virtually or face to face in North Carolina in 2022.

Thirteen women who experienced miscarriage from March 30, 2020, to February 24, 2021, during recommended and mandated stay-at-home orders, and discussed work-related stress.

We used qualitative data from a primary study. We analyzed semistructured interviews using inductive content analysis with first- and second-cycle coding. After finalizing the themes, we applied the theory of transactional stress and coping deductively as an interpretive lens to contextualize the findings.

Four themes emerged: Difficulties Maintaining Work–Life Balance, Inadequate Workplace Accommodations, Varying Levels of Workplace Social Support, and Compounded Pressures of Miscarriage and Pandemic-Related Stress. Struggles with work–life balance, inadequate work accommodations, and limited workplace social support led to additional emotional distress and impaired work performance, and they prompted changes in employment status.

Our findings underscore the need for comprehensive workplace policies and interventions that support women’s unique needs after miscarriage, particularly during crises. Practical recommendations include flexible work schedules, paid leave, and mental health resources.