Early Pregnancy Failure—Current Management Concepts

“…during their lifetimes (Chen, 1986;Creinin, Schwartz, Guido, & Pymar, 2001;Madden, 1994;Rai & Regan, 2006). However, very little has been established regarding the long-term effects of pregnancy loss on women's mental health and=or their relationship with future children.…”

mentioning

confidence: 99%

Stepping Back to Gain Perspective: Pregnancy Loss History, Depression, and Parenting Capacity in the Early Childhood Longitudinal Study, Birth Cohort (ECLS-B)

Price¹

2008

Death Studies

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Previous empirical studies of pregnancy loss have predominantly focused on complex grief response and emergent problems associated with future parenting in self-selected samples of bereaved women. This article presents findings from a retrospective secondary data analysis conducted with a racially and ethnically diverse sample of currently parenting women in the United States (N = 10,688) that examined the relationships among pregnancy loss history, current maternal depressive symptoms, and mother-infant interaction with the enrolled child. Study findings underscore a racial-ethnic disparity in pregnancy loss history for African American women, whereas current maternal depressive symptoms remain fairly constant across racial-ethnic groups. Multiple loss history is associated with a slight elevation in overall symptoms of depression, but there is no relationship between pregnancy loss history and current mother-infant interaction in the study sample. An important limitation in this study is that the Early Childhood Longitudinal Study, Birth Cohort (ECLS-B) data does not allow for inferences specific to the type of loss, gestational age of fetus, time since loss, or whether the loss was spontaneous or induced. However, study findings highlight areas of incongruity between clinical and population-based research that deserve further investigation. Ultimately, the findings from this population-based research contribute to a wider perspective regarding maternal response to reproductive loss that can inform future research and targeted bereavement support.

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“…1 Although there are evidence-based alternatives, such as treatment with misoprostol or office-based surgical evacuations, [1][2][3][4][5][6][7][8][9][10] women are often offered surgical evacuation only in an operating room (OR) or expectant management. 11,12 Given that many women prefer to avoid the OR [13][14][15][16] and surgical management in an OR is more costly than other approaches, [17][18][19][20] increasing access to alternative treatment approaches could have meaningful economic implications.…”

mentioning

confidence: 99%

Beyond usual care: the economic consequences of expanding treatment options in early pregnancy loss

Dalton¹,

Liang²,

Hutton³

et al. 2015

American Journal of Obstetrics and Gynecology

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Early Pregnancy Failure—Current Management Concepts

Cited by 65 publications

References 42 publications

Oral misoprostol reduces vaginal bleeding following surgical evacuation for first trimester spontaneous abortion

Oral misoprostol reduces vaginal bleeding following surgical evacuation for first trimester spontaneous abortion

Stepping Back to Gain Perspective: Pregnancy Loss History, Depression, and Parenting Capacity in the Early Childhood Longitudinal Study, Birth Cohort (ECLS-B)

Beyond usual care: the economic consequences of expanding treatment options in early pregnancy loss

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