North York General Hospital, Toronto, Ontario, Canada.
University of Toronto, Toronto, Ontario, Canada.
Qual Health Res. 2021 May;31(6):1119-1128. doi: 10.1177/1049732321994534. Epub 2021 Mar 20.
Women experiencing early pregnancy loss frequently seek care in emergency departments or early pregnancy clinics. The existing qualitative literature on the experience of miscarriage has yet to address how to connect how these women perceive their care experience and the prevailing structures which may be at the root of why their experience continues to be challenging. This study aimed to look deeper into the sources of negative experiences of early pregnancy loss for insight into how to rethink where to make impactful changes to care. Phenomenologically informed interviews with 59 women revealed several points of tension in the framing of early pregnancy loss, including the view of miscarriage as common, of it as a medical versus emotional experience, and the assumptions around care needs. Our work suggests that these tensions need to be dismantled through more patient-centered approaches to patient-provider relationships, policies, models of care, and medical discourse.
经历早期妊娠丢失的女性经常在急诊部门或早孕诊所寻求医疗护理。现有的关于流产经历的定性文献尚未解决如何将这些女性如何感知她们的护理体验以及可能导致她们的体验仍然具有挑战性的根本原因的结构联系起来。本研究旨在更深入地探讨早期妊娠丢失负面体验的根源，以期深入了解如何重新思考在何处进行有影响力的护理变革。对 59 名女性进行的现象学访谈揭示了早期妊娠丢失框架中的几个紧张点，包括将流产视为常见现象、将其视为医疗问题与情绪问题、以及对护理需求的假设。我们的研究表明，需要通过更以患者为中心的方法来解决这些紧张关系，包括患者与提供者的关系、政策、护理模式和医学话语。
