what does this symbol mean?
A small open circle at the end of a short line

Miscarriage

On a genogram, a miscarriage is a very small circle at the end of a short line down from the parents’ line, in the row of their children.

Easily confused with

How to read it

Pregnancy losses are drawn in the row of Children, where the Multicultural Family Institute’s sheet lists children in birth order from the oldest on the left. The Institute’s sheet and the 2021 Research in Practice guide both draw a miscarriage as a small circle on a short line, about the size of a dot, and the Institute’s sheet writes the year beside it. The 1980 legend in The Journal of Family Practice drew a spontaneous abortion as a small filled circle. Beside it on both modern sheets, a small X is an abortion, and on the Institute’s sheet a small square with an X through it is a stillbirth.

Also searched as: genogram miscarriage, miscarriage symbol, spontaneous abortion genogram.

This explains what a symbol records on a genogram. Clinicians vary the notation, and a genogram’s own key takes precedence.

Miscarriage in the medical pedigree

The National Society of Genetic Counselors’ pedigree draws a spontaneous abortion (SAB) as a small triangle, with the weeks of gestation written beneath it, and a termination of pregnancy (TOP) as a triangle crossed by a diagonal line. On a genogram the triangle is a Pregnancy, so the same shape means a continuing pregnancy on one diagram and a loss on the other.

More genogram symbols

The same shape elsewhere

Sources

Researched, edited and approved by Rory Hansen before publishing. Last reviewed October 9, 2026. How we research

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