Improving Midwifery Care for Women Experiencing Pregnancy Loss: A Clinical Guideline

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Identifier 2019_Lawson
Title Improving Midwifery Care for Women Experiencing Pregnancy Loss: A Clinical Guideline
Creator Lawson, Jamie L.
Subject Advanced Practice Nursing; Education, Nursing, Graduate; Abortion, Spontaneous; Stillbirth; Self Efficacy; Nurse Midwives; Health Knowledge, Attitudes, Practice; Quality of Health Care; Continuity of Patient Care; Outcome and Process Assessment (Health Care); Practice Guidelines as Topic; Patient Education as Topic; Quality Improvement
Description Pregnancy loss is a common occurrence and has profound, long-term psychological, physical, social and financial impacts on women and their families. Women report negative experiences with healthcare providers during management of pregnancy loss, including confusing information, inappropriate language, lack of emotional care and lack of adequate follow up. Currently, the Birthcare Healthcare midwifery practice does not have a clinical guideline outlining management of pregnancy loss. The purpose of this multi-step project was to improve the care to women experiencing pregnancy loss through the development of a clinical guideline. First, a literature review was performed to identify best practices and available knowledge regarding optimal care for this population. Next, a 12-month chart review was performed of all pregnancy loss patients within this midwifery practice. Lastly, provider interviews were conducted, transcribed and analyzed for themes. The chart review revealed that over one-third of patients treated for pregnancy loss did not receive any type of follow-up care. Provider interviews highlighted several barriers to providing optimal care including inherent challenges of a group practice model and the need for role clarity between providers. Results from the chart review and interviews were used with the existing literature to develop an evidence-based clinical guideline. This guideline was then presented to the midwifery practice and evaluated for content and usefulness. One hundred percent of providers reported full intention to use the guideline in the upcoming six months, suggesting that a clinical guideline approach to the management of pregnancy loss could be useful in other midwifery practices.
Relation is Part of Graduate Nursing Project, Doctor of Nursing Practice, DNP
Publisher Spencer S. Eccles Health Sciences Library, University of Utah
Date 2019
Type Text
Rights
Holding Institution Spencer S. Eccles Health Sciences Library, University of Utah
Language eng
ARK ark:/87278/s6c00pjc
Setname ehsl_gradnu
ID 1428514
Reference URL https://collections.lib.utah.edu/ark:/87278/s6c00pjc
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