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Do miscarriage care practice recommendations align with individuals' needs?: A scoping review.

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Individuals often report negative experiences with miscarriage care. Improving patient-centered care and implementing existing recommendations are crucial for better miscarriage support.

Keywords:
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Area of Science:

  • Reproductive Health
  • Patient Experience
  • Healthcare Quality

Background:

  • Miscarriage is a common event, yet patient experiences with care are frequently negative.
  • This indicates a significant gap in the quality of miscarriage care delivery.
  • Understanding these experiences is vital for improving healthcare standards.

Purpose of the Study:

  • To explore the literature on patient experiences with miscarriage care across various dimensions.
  • To assess how these experiences align with current practice recommendations.
  • To identify areas for improvement in miscarriage care provision.

Main Methods:

  • A scoping review of peer-reviewed studies was conducted.
  • Studies were sourced from PubMed, published in English up to April 30, 2022.
  • 41 studies were included after screening 1812 initial results.

Main Results:

  • Patient experiences encompass care settings, accessibility, information provision, emotional support, decision-making, and follow-up.
  • A general dissatisfaction with miscarriage care experiences was reported across studies.
  • Existing practice recommendations show responsiveness to identified issues.

Conclusions:

  • Patient-centered care, shared decision-making, and addressing informational/emotional needs are key for optimal miscarriage care.
  • The prevalence of negative experiences highlights the need to improve the implementation of practice recommendations.
  • Future research should focus on underserved communities and patient-reported quality dimensions.