Abstract
Early pregnancy loss (EPL), also known as miscarriage or spontaneous abortion (SAB), during the first trimester occurs in as many as 25% of all known pregnancies and can lead to significant emotional and clinical morbidities (Al Wattar et al., 2019). It is diagnosed when a non-viable intrauterine pregnancy is identified at less than 13 weeks gestational age (Shorter et al., 2018). While this diagnosis can be tragic for patients, it can also be very complicated and stressful for providers to manage. Management of EPL involves the consideration of a multitude of factors. Providers must discuss implications and management options with consideration of a patient's health status, symptoms, social support, and age. Options for management include expectant management, medical management, or surgical aspiration with a physician. Follow-up and mental health support are also crucial during care. In a large clinic with multiple providers, management plans are confusing, and follow-up often gets overlooked. After a review of current clinical problems and personal experience with the issue of EPL at the Vanderbilt Midwives clinical practice, a focus on implementation of a standardized EPL management guideline was chosen as a DNP project.
Sigma Membership
Non-member
Lead Author Affiliation
Samford University, Birmingham, Alabama, USA
Type
DNP Capstone Project
Format Type
Text-based Document
Study Design/Type
Quality Improvement
Research Approach
Translational Research/Evidence-based Practice
Keywords:
Early Pregnancy Loss, Miscarriage, Spontaneous Abortion, Midwifery Clinic
Advisor
Buckner, Ellen
Second Advisor
Taylor, Margaret C.
Degree
DNP
Degree Grantor
Samford University
Degree Year
2021
Recommended Citation
Diaz, Hannah, "Standardized management of early pregnancy loss in a midwifery clinic" (2021). Group: Samford University Moffett & Sanders School of Nursing. 50.
https://www.sigmarepository.org/samford/50
Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 3.0 License.
Rights Holder
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Review Type
None: Degree-based Submission
Acquisition
Self-submission
Date of Issue
2021-07-30
Full Text of Presentation
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