Satisfaction with hospital care and interventions after pregnancy loss

Hospital practices after pregnancy loss have changed considerably over the past decade, yet they have not been well evaluated. In a longitudinal study of 194 women and men who experienced miscarriage, ectopic pregnancy, stillbirth, or newborn death, the recommended interventions at the time of loss are examined. In most cases, parents were more satisfied if they had experienced an intervention than if they had not, but having experienced more total interventions was not associated with lower grief or greater satisfaction with overall care; the latter was related more to the attentiveness and sensitivity of health care personnel. Three groups identified as in need of greater attention are clinic patients, who were significantly less satisfied and more grief-stricken than the patients of private physicians, those who had spontaneous abortions or ectopic pregnancies, and those who had early fetal losses.