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Related Experiment Video

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"Being Sure": women's experience with inevitable miscarriage.

Rana Limbo1, Jo K Glasser, Maria E Sundaram

  • 1Rana Limbo is Associate Director, Resolve Through Sharing, Gundersen Health System, La Crosse, WI. The author can be reached via e-mail at rklimbo@gundersenhealth.org Jo K. Glasser is Research Scientist (retired), Gundersen Health System, La Crosse, WI. Maria E. Sundaram is Research Epidemiologist, Marshfield Clinic, Marshfield, WI.

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Summary

Women experiencing early miscarriage need to be sure about their diagnosis and treatment choices. Healthcare providers can support women by helping them understand symptoms and feel comfortable with their chosen miscarriage management options.

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Area of Science:

  • Reproductive Health
  • Women's Health
  • Psychological Aspects of Pregnancy Loss

Background:

  • Miscarriage is a common pregnancy complication.
  • Decision-making processes after a likely miscarriage are not well understood.
  • Early pregnancy loss impacts women's emotional and psychological well-being.

Purpose of the Study:

  • To explore women's experiences and decision-making processes following a likely miscarriage.
  • To understand how women confirm the pregnancy loss and choose management options.
  • To identify key factors influencing women's choices after early miscarriage.

Main Methods:

  • Qualitative study using dimensional analysis, a grounded theory technique.
  • Interviews with 23 women who experienced miscarriage before 14 weeks gestation.
  • Focus on understanding the process of knowing and deciding after miscarriage diagnosis.

Main Results:

  • 'Being Sure' emerged as the central process for women.
  • Women needed certainty about the miscarriage diagnosis (pregnancy truly over).
  • Women sought assurance in selecting the appropriate treatment: surgical, medical, or expectant management.

Conclusions:

  • Healthcare providers, particularly nurses, can support women by facilitating 'Being Sure'.
  • Assisting women in understanding symptoms aids in accepting pregnancy loss.
  • Supporting women's comfort with their chosen miscarriage treatment is crucial for care.