Table 3:

Aspects of Care Logistics Valued by Patients Undergoing Miscarriage Evaluation and Management: Stratified by Location

Emergency Department	Ambulatory-only
Sensitivity
“I went to the Emergency Room to get an ultrasound. The [radiology technologist], he was really just—his attitude just wasn’t there. He did the ultrasound […] and he said, the pregnancy’s no more. The fact that he came and just said that, it was kinda like, okay. Well, I know you had sensitivity training and that’s not how you tell anybody anything.”	“She was very sensitive. She kept saying it’s not my fault. It’s nothing I did wrong. […] She seemed very patient. […] She didn’t seem like she was in any rush to kind of end the conversation or get me out of there. She really seemed sensitive to how difficult it must have been for me.”
“They were just interested in my overall well-being, like emotional, asked if I was in any pain, what it was that I felt like I needed…They did that both in the ER and in [Family Planning].”	“They did actually like speak to me as if I was a person and not just the patient. They had bedside manners, so they actually—they made you feel like you were in a safe place, you felt the trust.
Clarity
“It’s just like, how is it my quants are going up and every time I go to the Emergency Room, they’re still giving me bad news?”	“[T]hey could do more counseling here and really go into our options more, and I felt like that was good.”
“[T]hey gave me a piece of paper and told me to go to my GYN or whatever and schedule an appointment.”	“No, I didn’t have any questions because it was pretty much cut and dry. They did explain to me the full outcomes of all three procedures. So I really understood what to expect and what was going to be the outcome.”
Efficiency
“It just took a while before I saw anyone. … Of course I knew, they knew, everybody knew that they would have to call Ob/Gyn for a consult, and that they would be the one doing the stuff. … Not only did I have to wait before I was seen, I was in pain, I had no support, but then I had to go through two gynecological exams, which I thought was pretty unnecessary.”	“I feel very fortunate because I have a great relationship with [my Ob/Gyn] and she was the one who discovered that the pregnancy wasn’t viable. She also delivered my daughter. … [She] helped put the wheels in motion for me right away.”
“I talked to the doctor that was in charge for—in the [ED], and then the Ob/Gyn came and they both agreed that—yeah. And then the third doctor came that—they had switched shifts and he came in and he spoke with me, and he pretty much had the same—ultimately the same as the other two.”	“They did everything they could to help make it manageable and make it—I guess to provide that closure as soon as possible. Like her taking me that same day. […] So I guess, there’s doctors recognizing that people just want to have closure and not prolong an already painful, horrible situation. To me, it was very important and I appreciated that.”

ED; Emergency Department