Women's experiences of health care utilization in cases of early pregnancy loss: A scoping review.
Abortion, spontaneous [MeSH]
Delivery of healthcare [MeSH]
Early pregnancy loss
Maternal health services
Patient experiences
Scoping review
Journal
Women and birth : journal of the Australian College of Midwives
ISSN: 1878-1799
Titre abrégé: Women Birth
Pays: Netherlands
ID NLM: 101266131
Informations de publication
Date de publication:
Jul 2021
Jul 2021
Historique:
received:
08
06
2020
revised:
22
07
2020
accepted:
30
07
2020
pubmed:
30
8
2020
medline:
29
6
2021
entrez:
30
8
2020
Statut:
ppublish
Résumé
Approximately 25% of pregnancies end in miscarriage, most occurring within the first trimester (<13 weeks). For many women early pregnancy loss has implications for short- and long- term mental health, and women's well-being following early pregnancy loss is impacted by their experiences within the healthcare setting. To improve quality of care, it is crucial to understand women's' experiences within the healthcare system in cases of early pregnancy loss. What does the research literature tell us about the experiences of early pregnancy loss within healthcare settings? Are these experiences positive or negative? 'How can care improve for those experiencing early pregnancy loss?' A scoping review of the research literature was undertaken. Three research databases were searched for relevant articles published in English since 2009, with key words related to 'Experience', 'Healthcare' and 'Early Pregnancy Loss'. A thematic analysis was undertaken to identify and summarize key findings emerging from the research literature. Twenty-seven (27) articles met our inclusion criteria. Three main themes were identified: (1) issues related to communication, (2) challenges within care environments, and (3) inadequacies in aftercare. The literature suggests that women's experiences related to healthcare for early pregnancy loss are largely negative, particularly within emergency departments. Recommendations to improve women's experiences should extend beyond attempts to improve existing care structures, to include emerging environments and providers. Women's experiences identified within the literature provide further insights on what women are seeking from their care, and how care models can be improved.
Sections du résumé
BACKGROUND
BACKGROUND
Approximately 25% of pregnancies end in miscarriage, most occurring within the first trimester (<13 weeks). For many women early pregnancy loss has implications for short- and long- term mental health, and women's well-being following early pregnancy loss is impacted by their experiences within the healthcare setting. To improve quality of care, it is crucial to understand women's' experiences within the healthcare system in cases of early pregnancy loss.
QUESTIONS
OBJECTIVE
What does the research literature tell us about the experiences of early pregnancy loss within healthcare settings? Are these experiences positive or negative? 'How can care improve for those experiencing early pregnancy loss?'
METHODS
METHODS
A scoping review of the research literature was undertaken. Three research databases were searched for relevant articles published in English since 2009, with key words related to 'Experience', 'Healthcare' and 'Early Pregnancy Loss'. A thematic analysis was undertaken to identify and summarize key findings emerging from the research literature.
FINDINGS
RESULTS
Twenty-seven (27) articles met our inclusion criteria. Three main themes were identified: (1) issues related to communication, (2) challenges within care environments, and (3) inadequacies in aftercare.
DISCUSSION
CONCLUSIONS
The literature suggests that women's experiences related to healthcare for early pregnancy loss are largely negative, particularly within emergency departments. Recommendations to improve women's experiences should extend beyond attempts to improve existing care structures, to include emerging environments and providers.
CONCLUSION
CONCLUSIONS
Women's experiences identified within the literature provide further insights on what women are seeking from their care, and how care models can be improved.
Identifiants
pubmed: 32859562
pii: S1871-5192(20)30301-2
doi: 10.1016/j.wombi.2020.07.012
pii:
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
316-324Informations de copyright
Copyright © 2020 Australian College of Midwives. Published by Elsevier Ltd. All rights reserved.