Parents' experiences of clinical care during second trimester miscarriage

Abstract

Background Second trimester miscarriage is defined as pregnancy loss after 12 weeks and before 24 weeks gestation. The care that parents receive has been shown to greatly influence the woman's recovery after pregnancy. Aims To explore parents' experiences of hospital care during a second trimester miscarriage, from the time of diagnosis through to follow-up care. Methods A focused ethnographic design to conduct semi-structured interviews with 14 bereaved parents before thematic data analysis. Findings Parents highlighted the need for effective medical care in relation to medical treatment, pain relief and length of hospital stay, going home to prepare for the delivery and follow-up care. Parents emphasised the importance of appropriate facilities and being separate from other parents and babies. Clear communication and finding a cause for their miscarriage was also important for parents. Conclusion Second trimester miscarriage is a significant life event for parents. Effective, individualised clinical care is needed to meet the medical needs of bereaved parents.