Dimensions of a Woman's Experience of Inevitable Miscarriage

Limbo, Rana; Glasser, Jo K.; Sundaram, Maria E.

doi:10.1111/1552-6909.12451

Cited by 4 publications

(8 citation statements)

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“…In our interviews, this topic proved challenging for two reasons: its complexity and its politically and spiritually sensitive nature. For example, communicating the idea that an embryo or fetus has a heartbeat but that a miscarriage is most likely inevitable can invoke strong reactions and be difficult to emotionally and intellectually process 31 . Providers who engage on this topic with patients would similarly have to navigate this complexity.…”

Section: Discussionmentioning

confidence: 99%

Anticipatory Counseling About Miscarriage Management in Catholic Hospitals: A Qualitative Exploration of Women's Preferences

Wingo¹,

Wascher

Stulberg

et al. 2020

Perspect Sexual Reproductive

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CONTEXT Catholic hospitals represent a large and growing segment of U.S. health care. Because these facilities follow doctrines that restrict reproductive health services, including miscarriage management options when a fetal heartbeat is present, it is critical to understand whether and how women would want to learn about miscarriage treatment restrictions from providers. METHODS From May 2018 to January 2019, semistructured interviews were conducted with 31 women aged 21–44 who had had exposure to religious‐based health care; all were drawn from a nationally representative survey sample. Participants responded to a hypothetical scenario regarding the anticipatory disclosure of miscarriage management policy during routine prenatal care. Responses were inductively coded and thematically analyzed using modified grounded theory to understand women's attitudes and considerations related to receiving anticipatory miscarriage management information. RESULTS Respondents supported the routine disclosure of miscarriage management policies during prenatal care. Some expressed concern that this might increase patient anxiety during pregnancy, but most felt that the information would serve to prepare and empower patients, and likened the topic to other anticipatory health information provided during prenatal care. Identified themes related to how providers can disclose this information (including the need for a precautionary framing to reduce patient stress), sharing the rationale for institutional policy, and the importance of provider neutrality to ensure patient autonomy. CONCLUSIONS To respect patient autonomy, health care providers working in Catholic hospitals should routinely discuss institutional miscarriage management policies with patients, and anticipatory counseling should give patients the balanced information they need to decide where to go for care should pregnancy complications arise.

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Section: Discussionmentioning

confidence: 99%

Anticipatory Counseling About Miscarriage Management in Catholic Hospitals: A Qualitative Exploration of Women's Preferences

Wingo¹,

Wascher

Stulberg

et al. 2020

Perspect Sexual Reproductive

View full text Add to dashboard Cite

show abstract

“…Two studies were conducted in the USA, two in the UK, one in Denmark and one in Sri Lanka. Five studies recruited in hospitals, and one in an outpatient setting [35]. Molnar et al [33] used a general hospital sample with women between 18 and 45 years, five studies included women with recent EPL experience.…”

Section: Qualitative Studiesmentioning

confidence: 99%

“…All in all, data was collected through face-to-face interviews or telephone interviews. In three studies data collection was standardized and validated by triangulation [35][36][37]. Table 1 summarizes the study and participants' characteristics.…”

Section: Qualitative Studiesmentioning

confidence: 99%

“…[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%

“…Women mentioned whether they want to be at home or not. One woman found it reassuring to be at home: "I'll be at home, I'll be safe, and if there're any real problems, I've got a phone number to ring" (31), one reason not be at home is described: "(..) having other children at home and not wanting to miscarry in front of them,(…)" [35].…”

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

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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Manual Uterine Aspiration: Adding to the Emergency Physician Stabilization Toolkit

Quinley

Chong

Prager

et al. 2018

Annals of Emergency Medicine

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Dimensions of a Woman's Experience of Inevitable Miscarriage

Cited by 4 publications

References 0 publications

Anticipatory Counseling About Miscarriage Management in Catholic Hospitals: A Qualitative Exploration of Women's Preferences

Anticipatory Counseling About Miscarriage Management in Catholic Hospitals: A Qualitative Exploration of Women's Preferences

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

Manual Uterine Aspiration: Adding to the Emergency Physician Stabilization Toolkit

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