Understanding the experience of miscarriage in the emergency department
Abstract
Introduction Up to 20% of pregnancies end in miscarriage, which can be a significant life event for women with psychological implications. Because the only preventative measure for a miscarriage is risk factor modification, the treatment focuses on confirming the miscarriage has occurred and medical management of symptoms. Although women experiencing a miscarriage are frequently directed to seek medical care in emergency departments, the patients are often triaged as nonemergent patients unless they are unstable, which exposes women to potentially prolonged wait times. Research about miscarriages and emergency departments predominantly focus on medical management with little understanding of how emergency care shapes the experience of miscarriage for women.Methods Seeking to describe the experiences of women coming to the emergency department for care while having a miscarriage, interpretive phenomenology-a form of qualitative research-guided this study. Eight women were recruited to participate in semi-structured face-to-face interviews of 60 to 90 minutes in length. Data were analyzed using hermeneutics and thematic analysis.Results Five themes emerged: "Pregnant/Life: Miscarriage/Death"; "Deciding to go to the emergency department: Something's wrong"; "Not an illness: A different kind of trauma"; "Need for acknowledgement"; and "Leaving the emergency department: What now?". Participants believed their losses were not acknowledged but instead dismissed. These experiences, combined with a perceived lack of discharge education and clarity regarding follow-up, created experiences of marginalization.Discussion This study describes the experience of miscarrying in emergency departments and provides insights regarding how nursing and physician care may affect patient perceptions of marginalization.
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Couples complain of unsympathetic routine clinical care by healthcare providers.
“Couples complain of unsympathetic 'routine' clinical care by healthcare providers. 4-6”
From Miscarriage matters: the epidemiological, physical, psychological, and economic costs of early pregnancy loss (2021) · cites this paper as [6]
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Bellew, S. D., Lowing, E., & Holcomb, L. A. (2024) · PubMed Central · doi:10.5811/westjem.18596 · Cited by 1 · see citing works
Lived experiences of women with spontaneous abortion at a district hospital, South Africa
Lockett, M., & Mash, R. J. (2024) · South African Family Practice · doi:10.4102/safp.v66i1.5917 · Cited by 1 · see citing works
International pregnancy loss/ miscarriage day posts shared on Instagram: a content analysis
Putri, A. S., Harzif, A. K., Nurbaeti, P., Puspawardani, A. R., Ummah, N., Amirah, S., Yuwono, M. C. A., Maidarti, M., & Sumapraja, K. (2025) · AJOG Global Reports · doi:10.1016/j.xagr.2025.100487 · Cited by 1 · see citing works
Calidad de la atención en salud a la mujer con aborto espontáneo: Revisión de la literatura
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Psychological aspects among women with miscarriage associated viral infection
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Empathy and healing: supporting patients and families after miscarriage
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- Authors
- MacWilliams, K., Hughes, J., Aston, M., Field, S., & Moffatt, F. W.
- Venue
- Journal of Emergency Nursing
- Publisher
- Elsevier BV
- Published
- 2016-11
- Volume
- 42
- Issue
- 6
- Pages
- 504-512
- ISSN
- 0099-1767 (ISSN-L)
- OpenAlex
- W2493726108
- Cited by
- 71
- References
- 48
- Citations by year
- 2026: 5 · 2025: 3 · 2024: 9 · 2023: 7 · 2022: 8 · 2021: 12 · 2020: 6 · 2019: 10 · 2018: 6 · 2017: 5
- FWCI
- 9.25
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Emergency Nursing (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Emergency Medicine › Emergency and Acute Care Studies
- Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Reproductive Health and Contraception
- Keywords
- miscarriage, emergency department care, patient experience, marginalization, discharge education, follow-up care, emergency department triage, trauma and loss, patient perception of care
- MeSH terms
- Abortion, Spontaneous, Adult, Emergency Service, Hospital, Female, Humans, Nova Scotia, Emergency Nursing, Qualitative Research, Young Adult
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