Catlin Anita
Anita Catlin is Manager, Research and Redesign, Kaiser Santa Rosa, and Consultant, Ethics Committee, Santa Rosa, CA. The author can be reached via e-mail at
MCN Am J Matern Child Nurs. 2018 Jan/Feb;43(1):13-18. doi: 10.1097/NMC.0000000000000399.
In April 2016, the National Perinatal Association and Kaiser Permanente Northern California Nursing Research Community Benefits Grant sponsored an interdisciplinary summit to explore the needs of women who present with actual or potential pregnancy loss to the emergency department (ED). Thirty-two experts in the field of pregnancy loss, 17 of whom represented their professional organizations, participated. These experts, which included nurses, physicians, social workers, counselors, authors, and parents, worked together to create guidelines for care of women with a pregnancy loss in the ED. Recommendations for ED healthcare providers are included. Emergency department personnel agreed that improvements in care could be offered and were willing to endorse education for their staff. The guidelines delineate how to better provide physical, emotional, and bereavement support at any stage of gestational loss. Administrative support for policies in the ED is essential to ensure the delivery of family-centered, culturally sensitive practices when a pregnancy ends.
2016年4月，美国围产期协会和北加利福尼亚凯撒医疗集团护理研究社区福利基金赞助了一次跨学科峰会，以探讨那些因实际或可能流产而前往急诊科（ED）的女性的需求。32位流产领域的专家参与其中，其中17位代表了各自的专业组织。这些专家包括护士、医生、社会工作者、咨询师、作家和父母，他们共同努力制定了急诊科护理流产女性的指南。其中包含了针对急诊科医疗服务提供者的建议。急诊科工作人员一致认为可以改善护理服务，并愿意为其员工提供培训。这些指南阐述了如何在妊娠丢失的任何阶段更好地提供身体、情感和丧亲之痛方面的支持。急诊科政策的行政支持对于确保在妊娠结束时提供以家庭为中心、具有文化敏感性的医疗服务至关重要。
