Conveying Missed Miscarriage Information at Obstetric Ultrasounds: Patient Experiences and Trauma-Informed Considerations

Health system changes are needed to improve the care of people experiencing miscarriage, including patients receiving missed miscarriage information at obstetric ultrasounds. This study included policy research on prenatal care guidelines, policy research on employment legislation for bereavement le...

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Main Authors: Rana Van Tuyl DSocSci, Kathryn Berry-Einarson MPH
Format: Article
Language:English
Published: SAGE Publishing 2025-05-01
Series:Journal of Patient Experience
Online Access:https://doi.org/10.1177/23743735251343497
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author Rana Van Tuyl DSocSci
Kathryn Berry-Einarson MPH
author_facet Rana Van Tuyl DSocSci
Kathryn Berry-Einarson MPH
author_sort Rana Van Tuyl DSocSci
collection DOAJ
description Health system changes are needed to improve the care of people experiencing miscarriage, including patients receiving missed miscarriage information at obstetric ultrasounds. This study included policy research on prenatal care guidelines, policy research on employment legislation for bereavement leave, interviews with people who had lived/living experience with miscarriage recovery in British Columbia, Canada, and a dialogue with patients. Missed miscarriages are commonly diagnosed during routine obstetric ultrasounds, requiring ultrasound technicians and other healthcare providers to communicate missed miscarriage information to patients. Compassionate care and communication are needed to support patients and partners during this often-difficult time. Trauma-informed training should be provided to ultrasound technicians and other healthcare providers who communicate information on miscarriage to patients in clinics and hospitals, including emergency departments. Additionally, health systems can consider policy recommendations discussed in this article to place trauma considerations at the center of the patient/provider experience, such as allowing a support person to be present during the full duration of the obstetric ultrasound and inviting the patient to make the decision on receiving, or not receiving, the ultrasound picture.
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institution Kabale University
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spelling doaj-art-99448086f80d44cebe240e620755fef62025-08-20T03:48:19ZengSAGE PublishingJournal of Patient Experience2374-37432025-05-011210.1177/23743735251343497Conveying Missed Miscarriage Information at Obstetric Ultrasounds: Patient Experiences and Trauma-Informed ConsiderationsRana Van Tuyl DSocSci0Kathryn Berry-Einarson MPH1 , Victoria, British Columbia, Canada , Provincial Health Services Authority, Vancouver, British Columbia, CanadaHealth system changes are needed to improve the care of people experiencing miscarriage, including patients receiving missed miscarriage information at obstetric ultrasounds. This study included policy research on prenatal care guidelines, policy research on employment legislation for bereavement leave, interviews with people who had lived/living experience with miscarriage recovery in British Columbia, Canada, and a dialogue with patients. Missed miscarriages are commonly diagnosed during routine obstetric ultrasounds, requiring ultrasound technicians and other healthcare providers to communicate missed miscarriage information to patients. Compassionate care and communication are needed to support patients and partners during this often-difficult time. Trauma-informed training should be provided to ultrasound technicians and other healthcare providers who communicate information on miscarriage to patients in clinics and hospitals, including emergency departments. Additionally, health systems can consider policy recommendations discussed in this article to place trauma considerations at the center of the patient/provider experience, such as allowing a support person to be present during the full duration of the obstetric ultrasound and inviting the patient to make the decision on receiving, or not receiving, the ultrasound picture.https://doi.org/10.1177/23743735251343497
spellingShingle Rana Van Tuyl DSocSci
Kathryn Berry-Einarson MPH
Conveying Missed Miscarriage Information at Obstetric Ultrasounds: Patient Experiences and Trauma-Informed Considerations
Journal of Patient Experience
title Conveying Missed Miscarriage Information at Obstetric Ultrasounds: Patient Experiences and Trauma-Informed Considerations
title_full Conveying Missed Miscarriage Information at Obstetric Ultrasounds: Patient Experiences and Trauma-Informed Considerations
title_fullStr Conveying Missed Miscarriage Information at Obstetric Ultrasounds: Patient Experiences and Trauma-Informed Considerations
title_full_unstemmed Conveying Missed Miscarriage Information at Obstetric Ultrasounds: Patient Experiences and Trauma-Informed Considerations
title_short Conveying Missed Miscarriage Information at Obstetric Ultrasounds: Patient Experiences and Trauma-Informed Considerations
title_sort conveying missed miscarriage information at obstetric ultrasounds patient experiences and trauma informed considerations
url https://doi.org/10.1177/23743735251343497
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