Reframing How Early Pregnancy Loss Is Viewed in the Emergency Department

Bibliographic Data

ID4644694
AuthorsKatie N Dainty (0000-0002-2906-8813, North York General Hospital, Toronto, Ontario, Canada, corresponding author), M Bianca Seaton (0000-0001-6971-5352, North York General Hospital, Toronto, Ontario, Canada), Shelley Mcleod (0000-0003-2686-6307, University of Toronto, Toronto, Ontario, Canada), Modupe Tunde-Bya (North York General Hospital, Toronto, Ontario, Canada), Modupe Tunde-Byass (North York General Hospital, Toronto, Ontario, Canada), Modupe Tunde‐Byass (0000-0002-5437-7124, University of Toronto), Elizabeth Tolhurst (North York General Hospital, Toronto, Ontario, Canada), Vanessa Rojas-Luengas (University of British Columbia), Darby Little (University of Toronto, Toronto, Ontario, Canada), Catherine Varner (0009-0009-8138-5988, University of Toronto, Toronto, Ontario, Canada)
Year2021
Volume31
Issue6
Pages1119-1128
Publication date2021-05-01
Open AccessYes
TypeARTICLE
VenueQualitative Health Research (JOURNAL)
Journal identifiersISSN: 1049-7323 • E-ISSN: 1552-7557
PublisherSAGE Publications Inc (PUBLISHER)
DOI10.1177/1049732321994534
PMID33745385
OpenAlexW3137592543
LanguageEN
Citations received1
References cited40

Women experiencing early pregnancy loss frequently seek care in emergency departments or early pregnancy clinics. The existing qualitative literature on the experience of miscarriage has yet to address how to connect how these women perceive their care experience and the prevailing structures which may be at the root of why their experience continues to be challenging. This study aimed to look deeper into the sources of negative experiences of early pregnancy loss for insight into how to rethink where to make impactful changes to care. Phenomenologically informed interviews with 59 women revealed several points of tension in the framing of early pregnancy loss, including the view of miscarriage as common, of it as a medical versus emotional experience, and the assumptions around care needs. Our work suggests that these tensions need to be dismantled through more patient-centered approaches to patient-provider relationships, policies, models of care, and medical discourse

Cognitive reframing · Emergency department · Medical emergency · Obstetrics · Pregnancy · Grief, Bereavement, and Mental Health · Homicide, Infanticide, and Child Abuse · Maternal and Perinatal Health Interventions · Medicine · Nursing · Psychology · Social Psychology

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