How Do You Support Early Pregnancy Losses? The Miscarriage Management Training Initiative: Improving Care for Women

Barriers to and Facilitators of Moving Miscarriage Management Out of the Operating Room

“…Other studies have documented the long‐standing physician preference for providing care in the operating room, uncertainty about providing what is perceived as an emotionally charged medical service and discomfort with providing miscarriage management because of its similarities to abortion care . Our findings also support existing documentation of the critical importance of relying on the evidence base and having trained and willing support staff to assist with a clinically straightforward and non–resource‐intensive procedure . To our knowledge, concerns about how integrating miscarriage management affects patient flow have not been previously documented.…”

“…13 Our fi ndings also support existing documentation of the critical importance of relying on the evidence base 13 and having trained and willing support staff to assist with a clinically straightforward and non-resourceintensive procedure. 14,18 To our knowledge, concerns about how integrating miscarriage management affects patient fl ow have not been previously documented. Furthermore, we are unaware of research showing how offering procedures of similar complexity to miscarriage management may ready a facility for offering this care, or how residents and training programs can be a powerful engine for making evidence-based change.…”