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. Author manuscript; available in PMC: 2020 Jan 22.
Published in final edited form as: Obstet Gynecol. 2019 Dec;134(6):1285–1292. doi: 10.1097/AOG.0000000000003571

Table 2:

Aspects of Care Logistics Valued by Patients Undergoing Miscarriage Evaluation and Management in All Locations

Theme Representative Quote(s)
Timeliness: How soon the resolution of the pregnancy could be established.
Efficient resolution → “I didn’t want to drag [it] out any further…I didn’t want to continue what I had already been through with the bleeding…I just wanted it to be over with.”
Time to process → “It just felt a little extreme; I thought I was still pregnant” (in response to having surgery scheduled on the same day as miscarriage diagnosis).
Compassion: Perception from patients regarding level of empathy from staff.
Positive → “The way they said it, it felt like a sister telling me.”
“They were very comforting…they made you feel like you were in a safe place; you felt the trust…they took your best interest at heart instead of ‘it’s just a procedure and you’re a patient and we do this every day.’”
Negative → “The last doctor I had…through the procedure…she was very ignorant and very disrespectful.”
“I think my original doctor, when I asked him how much time to take off, he said ‘you only need that day; if you really want to pamper yourself, take another one.’ And the pretty severe cramping [I had]…pampering myself sort of made me roll my eyes a little bit.”
Flexibility: Willingness of the staff to “bend the rules” for the benefit of the patient experience. “[My nurse] was asking me if I was ok; [she told me] I could sit here for as long as I needed to.”
“I had really expected [my husband] to be next to me. So she let him actually stay in the room, and it felt like she really cared about what I was feeling…I appreciated that she understood that.”
Certainty: Value in knowing the outcome of the pregnancy. “The [waiting] window was really hard…in some ways worse than the news about the miscarriage.”
“I couldn’t walk around with, you know, a dead fetus in me. I [needed] to know what was going on.”

ED: Emergency Department