Table 6.

Major physician consideration themes regarding miscarriage management

Theme	Representative quote
Opinions of Physician, Family, and Friends	You know, it's my responsibility to give them an even picture where I'm trying not to seemingly support one over another. If for a particular patient I do, I’ll tell them that, you know what? I like this one. And then I’ll them why I like that one, and not the other options. And I’ll tell them why I don’t like the other options, and [then] they have some sense of what my thought process is.
Pain & Physical Aversions	I phrase it… if you are willing to go through the process of the miscarriage at home […] then I say that’s what you should do. But I tell them if they’re the type of person that’s going…rush to the emergency room; they’re going to end up with a D&E anyway.
Timing & Control of Miscarriage Process	It would be easier if I had more physicians who did manual aspirations in the office. There’s really only one person who does that and as a result a lot of these patients … then have some limits in the options available to them.
Prior Pregnancy Experience	I think with the ones who’ve had it before … they’ve sort of already made up their mind … if they had a decent experience with the certain option they’ll go for that or if they didn’t, they’ll go for something else…
Understanding of Management Choices	I generally give detailed information about the risks, benefits and alternatives including the percentage of success and the likelihood of further complications and I help them make a decision that’s right for them.