Women in early pregnancy who experience the symptoms of miscarriage, (spotting, bleeding, cramps and no longer feeling pregnant) normally consult their GP. Some women may be unaware of problems with their pregnancy, which are only discovered during a routine consultation with their GP or midwife or at a routine ultrasound scan. In this locality the GP will refer the woman to the local hospital where she will be seen in the Early Pregnancy Assessment Clinic (EPAC) in the Accident and Emergency (A&E) department by a gynaecology SHO who will examine her, organise an ultrasound scan and, if necessary, arrange admission to the emergency ward for an ERPC. At the time of this study, in this hospital, it was routine practice that miscarrying women be admitted for an ERPC. The medical management of miscarriage was not available and it was very unusual for a woman diagnosed as miscarrying not to have an ERPC.
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Suggestions for further reading
- Journal of Reproductive and Infant Psychology (1994) 12(1). Special issue: Understanding the experience and emotional consequences of miscarriage.Google Scholar
- Miscarriage Association Newsletter, available from the Miscarriage Association (see Appendix I).Google Scholar
- Moulder, C. (1995) Miscarriage: Women’s Experiences and Needs, London, Pandora Press/HarperCollins.Google Scholar
- Oakley, A., McPherson, A. and Roberts, H. (1990) Miscarriage, Harmondsworth, Penguin.Google Scholar