Women who experience a miscarriage have unique needs for initial supportive care. This is particularly the case when first attending healthcare facilities, prior to referral to further care pathways, especially in the emergency department. This article explores initial care for women who experience a miscarriage, and argues that while this period might be viewed as transitional, initial supportive care is crucial as it is likely that women will experience heightened emotional turbulence. Although, at times, the transition period may be brief, it is still fundamental to provide women who may be vulnerable with optimal support. The review and discussion in this article particularly reference the context in Brunei Darussalam, but also explore the context of existing international literature.