Van Tuyl Rana, Berry-Einarson Kathryn
Royal Roads University, Victoria, British Columbia, Canada.
Perinatal Services BC, Provincial Health Services Authority, Vancouver, British Columbia, Canada.
J Patient Exp. 2025 May 25;12:23743735251343497. doi: 10.1177/23743735251343497. eCollection 2025.
Health system changes are needed to improve the care of people experiencing miscarriage, including patients receiving missed miscarriage information at obstetric ultrasounds. This study included policy research on prenatal care guidelines, policy research on employment legislation for bereavement leave, interviews with people who had lived/living experience with miscarriage recovery in British Columbia, Canada, and a dialogue with patients. Missed miscarriages are commonly diagnosed during routine obstetric ultrasounds, requiring ultrasound technicians and other healthcare providers to communicate missed miscarriage information to patients. Compassionate care and communication are needed to support patients and partners during this often-difficult time. Trauma-informed training should be provided to ultrasound technicians and other healthcare providers who communicate information on miscarriage to patients in clinics and hospitals, including emergency departments. Additionally, health systems can consider policy recommendations discussed in this article to place trauma considerations at the center of the patient/provider experience, such as allowing a support person to be present during the full duration of the obstetric ultrasound and inviting the patient to make the decision on receiving, or not receiving, the ultrasound picture.
需要进行卫生系统变革，以改善对流产患者的护理，包括让患者在产科超声检查时获得稽留流产信息。本研究包括对产前护理指南的政策研究、关于丧亲假的就业立法的政策研究、对在加拿大不列颠哥伦比亚省有流产恢复经历的人进行访谈，以及与患者进行对话。稽留流产通常在常规产科超声检查时被诊断出来，这就要求超声技术人员和其他医疗服务提供者将稽留流产信息告知患者。在这个通常很艰难的时期，需要有同情心的护理和沟通来支持患者及其伴侣。应该为在诊所和医院（包括急诊科）向患者传达流产信息的超声技术人员和其他医疗服务提供者提供创伤知情培训。此外，卫生系统可以考虑本文讨论的政策建议，将创伤因素置于患者/提供者体验的中心，比如允许一名支持人员在整个产科超声检查期间在场，并邀请患者决定是否接收超声图像。
