Author, year	Wright,80 2021
Type of evidence	Opinion piece/narrative
Population represented	Women in early pregnancy and/or those who experience miscarriage
Phenomenon of interest	The “12-week rule” (not telling anyone about pregnancy in the first 12 weeks)
Setting/context	Published in a medical journal in Australia Reflections on an earlier article by a doctor describing her personal journey of miscarriage
Stated allegiance/position	The “silence” of hiding news of pregnancy and then of subsequent miscarriage exacerbates the silent culture around miscarriage This can affect the woman’s capacity to recover emotionally from the experience
Description of main arguments or information	Health professionals should encourage women to share their news of being pregnant early and be open about things that can go wrong ED environment may not be ideal for women experiencing miscarriage Potential for significant psychological morbidity for some women particularly if emotional needs are not acknowledged and met #*+Bereavement midwife: nurse…. important not to minimize the loss, “be in that space, sit with someone who’s just so sad about their loss”(para.22)

ED, emergency department; EPAS, early pregnancy assessment service; GP, general practitioner; HG, hyperemesis gravidarum; NP, nurse practitioner; NVP, nausea and vomiting of pregnancy