Cited by 11Grief, Bereavement, and Mental HealthReproductive Health and ContraceptionMaternal and Perinatal Health Interventions

Social work intervention for women experiencing early pregnancy loss in the emergency department

Palmer, Ashley D., Murphy-Oikonen, Jodie·2019·Social Work in Health Care

Abstract

Often referred to as miscarriage, Early Pregnancy Loss (EPL) is the spontaneous death of a fetus experienced within the first 20 weeks of gestation and is the most common complication in pregnancy. Symptoms of an impending EPL are routinely managed in the Emergency Department (ED). EPL can have a substantial impact on women, potentially leading to psychological and emotional health issues and risks to future pregnancies. Despite the high prevalence of EPL, many women suffer in silence due to the common societal belief that EPL are insignificant. Many women experience EPL as an ambiguous loss and are at risk for disenfranchised grief. Compassionate, patient-centred care has been identified by women as an essential and often missing aspect of ED care and can have a profound impact on the overall well-being of women after EPL. Social workers play a critical role in the ED given that they prioritize the psychosocial well-being of patients in a system that is structured to primarily address trauma care. In an effort to reduce the psychological impact and complicated grief reactions of women experiencing EPL, specific recommendations for social work intervention to address the individual needs of women experiencing EPL in the ED are presented. These include acknowledging the loss, providing psychoeducation, honouring the loss, assessing resources, referral and additional information, and building capacity in the ED.

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Crossref · 10.1080/00981389.2019.1580237

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  • Compassionate and patient-centred care has been identified by women who suffer pregnancy loss as an essential aspect which plays a crucial role in their long-term emotional recovery.

    “Compassionate and patient-centred care has been identified by women who suffer pregnancy loss as an essential aspect which plays a crucial role in their long-term emotional recovery (Palmer & Murphy-Oikonen, 2019).”

    From Integrative Review of Emotional Care Following Perinatal Loss (2021) · cites this paper as Palmer & Murphy-Oikonen, 2019

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Authors
Palmer, A. D., & Murphy-Oikonen, J.
Affiliations
Lakehead University (CA)
Corresponding author
Murphy-Oikonen, Jodie
Venue
Social Work in Health Care
Published
2019-02-18
Volume
58
Issue
4
Pages
392-411
ISSN
  • 0098-1389 (ISSN-L)
  • 1541-034X
OpenAlex
W2915364587
Cited by
11
References
73
Citations by year
2026: 1 · 2024: 4 · 2023: 1 · 2022: 2 · 2021: 1 · 2020: 1 · 2019: 1
FWCI
1.46
Type
journal article
Language
en
Open access
closed
Locations
  • Social Work in Health Care (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Grief, Bereavement, and Mental Health
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Reproductive Health and Contraception
  • Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
Keywords
early pregnancy loss, miscarriage, social work intervention, emergency department, complicated grief, disenfranchised grief, ambiguous loss, psychosocial well-being, patient-centered care, psychoeducation, referral, women's health
MeSH terms
Abortion, Spontaneous, Emergency Service, Hospital, Female, Grief, Humans, Referral and Consultation, Social Work

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