Royal Roads University, Victoria, BC, Canada.
Womens Health (Lond). 2024 Jan-Dec;20:17455057231224180. doi: 10.1177/17455057231224180.
Approximately 15%-25% of clinical pregnancies end in miscarriage, with more than 15,000 miscarriages occurring annually in British Columbia, Canada. Despite the significant rates of loss, research and health care services for pregnancy loss remain scarce in British Columbia.
This study aimed to (1) aid miscarriage recovery through the identification and sharing of equitable pregnancy loss care practices and supports and (2) present policy recommendations to improve prenatal care guidelines and employment standards for pregnancy loss.
This research took a patient-oriented methodological approach alongside people with lived/living experience(s) of miscarriage recovery in British Columbia to evaluate access to health care during pregnancy loss, societal understanding of miscarriage, and treatment options that foreground dignity.
The mixed-methods design of this research included policy research on prenatal care guidelines, policy research on provincial and territorial employment legislation for bereavement leave, semi-structured interviews (n = 27), and a discovery action dialogue (n = 4).
The findings of this research demonstrate the need for improved prenatal care guidelines for early pregnancy loss, follow-up care after a miscarriage, mental health screening and supports, and bereavement leave legislation.
This article includes recommendations to improve equitable access to pregnancy loss care, bereavement leave legislation, and future research in this area.
约 15%-25%的临床妊娠以流产告终，在加拿大不列颠哥伦比亚省，每年有超过 15000 例流产。尽管流产率很高，但不列颠哥伦比亚省的妊娠丢失研究和医疗保健服务仍然很少。
本研究旨在（1）通过确定和分享公平的妊娠丢失护理实践和支持来帮助流产恢复，以及（2）提出改善产前护理指南和妊娠丢失就业标准的政策建议。
本研究采用以患者为中心的方法，结合不列颠哥伦比亚省流产后恢复的患者的生活经验，评估妊娠丢失期间的医疗保健服务获取情况、对流产的社会理解以及重视尊严的治疗选择。
本研究的混合方法设计包括产前护理指南的政策研究、省级和地区丧亲休假就业立法的政策研究、半结构化访谈（n=27）和发现行动对话（n=4）。
本研究的结果表明，需要改进早期妊娠丢失、流产后随访护理、心理健康筛查和支持以及丧亲休假立法方面的产前护理指南。
本文包括改善妊娠丢失护理、丧亲休假立法以及该领域未来研究的公平获取机会的建议。
