Baird Sara, Gagnon Monica D, deFiebre Gabrielle, Briglia Emily, Crowder Rebecca, Prine Linda
The Institute for Family Health, 1824 Madison Ave, New York, NY 10035, USA; Mount Sinai School of Medicine, 1 Gustave Levy Place, New York, NY 10029, USA.
The Institute for Family Health, 1824 Madison Ave, New York, NY 10035, USA.
Sex Reprod Healthc. 2018 Jun;16:113-117. doi: 10.1016/j.srhc.2018.03.001. Epub 2018 Mar 8.
To understand the reasons why women present to the Emergency Room (ER) for Early Pregnancy Loss (EPL)-related care, how they perceive care and counseling there, and their overall experience during and after their visit.
This qualitative study utilized semi-structured telephone interviews. Participants were recruited in a large urban ER; women who experienced EPL were interviewed by telephone about their experiences 1-3 weeks after their visit. Audio recordings were transcribed and coded by two independent coders.
This qualitative study utilized semi-structured interviews without the use of formal outcome measurement tools.
Of the sixty-seven women recruited, ten completed the full telephone interview. Interview participants' responses were grouped into four categories: Feelings about EPL, reasons for going to the ER, experience in the ER, and experience after leaving the ER. Women had mixed feelings about their ER experiences; many reported chaos, lack of information or lack of emotional support, while a few felt informed and supported. Many did not know much about EPL before their experience.
ER care for women experiencing suspected or confirmed EPL may not be addressing the emotional needs and knowledge gaps of women. Patient education, emotional support, and clear plans for outpatient follow up are critical. Further research is needed to guide interventions to improve care.
了解女性因早期妊娠丢失（EPL）相关护理前往急诊室（ER）的原因、她们对那里护理和咨询的看法，以及她们就诊期间及之后的总体经历。
这项定性研究采用了半结构化电话访谈。在一家大型城市急诊室招募参与者；经历过EPL的女性在就诊1至3周后通过电话接受关于其经历的访谈。录音由两名独立编码员进行转录和编码。
这项定性研究采用半结构化访谈，未使用正式的结局测量工具。
在招募的67名女性中，10名完成了完整的电话访谈。访谈参与者的回答分为四类：对EPL的感受、前往急诊室的原因、在急诊室的经历以及离开急诊室后的经历。女性对她们在急诊室的经历感受不一；许多人报告说那里混乱、信息不足或缺乏情感支持，而少数人则感到得到了信息和支持。许多女性在经历之前对EPL了解不多。
急诊室对疑似或确诊EPL女性的护理可能未满足女性的情感需求和知识缺口。患者教育、情感支持以及明确的门诊随访计划至关重要。需要进一步研究以指导改善护理的干预措施。
