Toward Optimal Emotional Care During the Experience of Miscarriage: An Integrative Review of the Perspectives of Women, Partners, and Health Care Providers.
Lysha Lee, Winn Ma, Sidney Davies and 1 others
PMID 36370053WHAT IT FOUND
Women and partners wanted clear information, empathy, privacy, and follow-up after miscarriage.
Nurses and midwives often felt underprepared and time-limited, so dissatisfaction points to unmet emotional care needs.
Key findings
01Women and partners wanted more information and acknowledgement of their loss.
02Partners also needed recognition as grieving parents, not only as supporters.
03Health care providers reported lacking training and time to provide emotional miscarriage care.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The review did not separate miscarriage type or management approach, so needs may not apply equally to all clinical situations. Participants were studied at different times after loss, from soon after the event to many years later. Dissatisfied parents may have been more likely to participate, and research may have focused on settings with poor satisfaction, so dissatisfaction could be overrepresented. Most included studies were qualitative, and many were review articles, so findings describe experiences rather than tested outcomes. Intervention evidence was limited, so the review cannot show which emotional-care strategies work.
Declared interests
The authors declared no conflicts of interest.
The easy way to misread this
Do not read this as evidence that any specific bereavement intervention works. The paper mainly reports needs and barriers from experiences, not tested interventions.