A qualitative study on patients’ perceptions of expectant management of first trimester incomplete miscarriage

Wijesinghe, P.S.; Herath, Rasika; Abeysundara, I.D.H.P.K.

doi:10.4038/cmj.v57i4.5078

Cited by 3 publications

(5 citation statements)

References 8 publications

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“…Four of the six qualitative studies deemed to be of high quality, and two were of sufficient quality assessed with RATS [19]. The studies with sufficient quality were Molnar et al [33] and Wijesinghe et al [34]; they did not provide information on data analysis. Two studies were conducted in the USA, two in the UK, one in Denmark and one in Sri Lanka.…”

Section: Qualitative Studiesmentioning

confidence: 99%

“…Participants in four of these studies had the chance to choose at least between two of the three abovementioned treatment options. In one study, the participants were interviewed after they took part in an RCT arm on expectant treatment [34]. Some qualitative studies followed a RCT allowing the participants to choose their treatment options, some not.…”

Section: Qualitative Studiesmentioning

confidence: 99%

“…[36], but another woman said: "It would've been better if some kind of method was used to remove this without wasting time. " [34]. Also, some women set their self a timeframe after which they would rethink their management decision: "I had thought about doing the D&C if it, if um, the, if I didn't actually miscarry on my own in a week [35].…”

Section: Statements From the Qualitative Studies Were Assigned To The Criteria From The Quantitative Studiesmentioning

confidence: 99%

“…Therefore, it was excluded by the research team. Some studies reported recommendations of physicians or influence of family members or fellow patients as relevant [33][34][35]38]. The criterion Recommendation of another person was excluded, because it was not specific for one or two management options.…”

Section: Evidence Synthesis (Systematic Reviews and Focus Group)mentioning

confidence: 99%

“…Setting of the abort Not to be at home, To be at home Limbo [35], Odgen [38], Olesen [37], Smith [36], Wijesinghe et al [34] Natural method Naturally, "let the body handle it" All studies Invasiveness of the method Fear of intervention, Less invasive Fear of aesthetic, Anaesthesia being a relief Molnar [33], Odgen [38], Olesen [37], Smith [36] The medical procedure is similar to an abortion Avoiding a procedure that could be construed as abortion; Make sure that the pregnancy was not viable Limbo [35], Smith [36] Seeing the foetus Fear of seeing the foetus; Want to see the foetus Olesen [37], Smith [36] Uncertainty when and where the abortion takes place.…”

Section: Criteria Developed From Statements Of Qualitative Studies Statements From Qualitative Studies Sourcementioning

confidence: 99%

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Evidence synthesis from a qualitative and a quantitative systematic literature review combined with a focus group interview to identify relevant criteria for decision-making on management options for early pregnancy loss

Peters¹,

Icks²,

Dintsios³

2019

2398-2799

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Purpose: Three management options for the treatment of Early Pregnancy Loss (EPL) exist: (i) surgery, (ii) expectant management, and (iii) medical management. Our aim was to identify relevant criteria for women to make a management decision.Patients and methods: Our triangulation approach comprise a systematic review of the qualitative and quantitative literature on management preferences of women with EPL and a focus group to verify the literature findings.Results: Nine potentially relevant decision criteria could be identified: avoidance of inpatient treatment with anaesthesia and surgery, avoidance of injuries at uterus and cervix, avoidance of blood transfusions, avoidance of drug side effects, avoidance of bleeding and pain, Experience EPL as natural process, avoidance of seeing the foetus, Avoidance of uncertainty when the abortion takes place, and have a short period of EPL completion. It was shown that the qualitative literature reported more criteria than those used in published quantitative preference elicitation studies. These were especially psychological criteria and criteria concerning the respective setting. Conclusion:Evidence synthesis from qualitative and quantitative literature and a focus group interview could identify relevant criteria for decision-making on management options in case of EPL. It is important to include the women's perspective into the criteria selection.

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Section: Qualitative Studiesmentioning

confidence: 99%

Section: Qualitative Studiesmentioning

confidence: 99%

Section: Statements From the Qualitative Studies Were Assigned To The Criteria From The Quantitative Studiesmentioning

confidence: 99%

Section: Evidence Synthesis (Systematic Reviews and Focus Group)mentioning

confidence: 99%

Section: Criteria Developed From Statements Of Qualitative Studies Statements From Qualitative Studies Sourcementioning

confidence: 99%

See 3 more Smart Citations

Evidence synthesis from a qualitative and a quantitative systematic literature review combined with a focus group interview to identify relevant criteria for decision-making on management options for early pregnancy loss

Peters¹,

Icks²,

Dintsios³

2019

2398-2799

View full text Add to dashboard Cite

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Methods for managing miscarriage: a network meta-analysis

Ghosh

Papadopoulou

Devall

et al. 2021

Cochrane Database of Systematic Reviews

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Where a licence is displayed above, please note the terms and conditions of the licence govern your use of this document.When citing, please reference the published version. Take down policyWhile the University of Birmingham exercises care and attention in making items available there are rare occasions when an item has been uploaded in error or has been deemed to be commercially or otherwise sensitive.

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Women Attending Hospital in Malawi for Miscarriage: A Qualitative Study of Perceptions of Miscarriage

2013

BJMMR

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A qualitative study on patients’ perceptions of expectant management of first trimester incomplete miscarriage

Cited by 3 publications

References 8 publications

Evidence synthesis from a qualitative and a quantitative systematic literature review combined with a focus group interview to identify relevant criteria for decision-making on management options for early pregnancy loss

Evidence synthesis from a qualitative and a quantitative systematic literature review combined with a focus group interview to identify relevant criteria for decision-making on management options for early pregnancy loss

Methods for managing miscarriage: a network meta-analysis

Women Attending Hospital in Malawi for Miscarriage: A Qualitative Study of Perceptions of Miscarriage

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