Early Pregnancy Loss

Managing, Counseling, and Diagnosis

Research shows that women have strong and diverse preferences for how their miscarriage is managed. Patients report higher satisfaction when offered all management options and are treated according to their personal priorities and preferences.

Learning Objectives:

After watching these video lectures, learners will:

  • Review the similarities between management of early pregnancy loss (EPL) and early abortion
  • Describe patient-centered counseling for EPL

Video Modules

The following videos include didactic narratives, provider testimonials, and live video and animation demonstrating a step-by-step method for surgical early pregnancy loss management. Quizzes to test your knowledge are available for further exploration of these topics.

EVALUATION AND DIAGNOSIS

 

The first chapter reviews a methodical approach to evaluate patients who present with symptoms of or concerns for EPL. Diagnostic guidelines for use of ultrasound and laboratory markers are reviewed.

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Clinical Scenario: Patient-centered Counseling in EPL Evaluation

This video first demonstrates common mistakes in provider communication, followed by recommendations for a patient-centered counseling approach. With shared decision-making techniques this patient chooses expectant management.

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Assessment
Take the Evaluation and Diagnosis Quiz here or
Download a free copy of the quiz and answer sheet in (word or pdf format) to use in your teaching environment.
btn_download_doc btn_download_pdf

 

COUNSELING FOR EPL MANAGEMENT OPTIONS

 

This chapter on counseling reviews important techniques for a patient-centered approach to choosing management for EPL. Use of Shared Decision-making techniques and a Decision Aid for Patient Treatment Priorities is presented.

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Clinical Scenario #2: EPL and Pregnancy Intention

During this ultrasound visit, the provider discovers the importance of pregnancy intention in discussing the diagnosis of EPL. Patient-centered counseling tips are included. This patient chooses uterine aspiration after a discussion of all her options.

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Assessment
Take the Counseling Quiz here or
Download a free copy of the quiz and answer sheet in (word or pdf format) to use in your teaching environment.
btn_download_doc   btn_download_pdf

 

EXPECTANT AND MEDICATION MANAGEMENT FOR EPL


Patient experiences of Expectant and Medication Management for EPL are similar, in that the completion of the miscarriage generally occurs at home or outside of the clinical setting. These principles as well as important differences between the two options are reviewed here. Dosing guidelines for misoprostol and adjunct medications are also presented.

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Clinical Scenario #3: EPL Diagnosis at a Routine Prenatal Visit

During a routine prenatal visit, the provider suspects an embryonic demise. This scenario reviews important strategies for patient-centered news delivery of EPL diagnosis. Shared decision-making techniques help this patient choose medication management.

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Assessment
Take the Expectant and Medication Management Quiz here or
Download a free copy of the quiz and answer sheet in (word or pdf format) to use in your teaching environment.
btn_download_doc   btn_download_pdf

 

UTERINE ASPIRATION FOR EPL

These videos cover pre- and post-procedure evaluation, and a step-by-step guide to performing an aspiration through detailed animation and live video of actual EPL procedures.

* To access the password needed to view the uterine aspiration videos, please register here and the password will be directly emailed to you.

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Assessment
Take the Uterine Aspiration Quiz here or
Download a free copy of the quiz and answer sheet in (word or pdf format) to use in your teaching environment.
btn_download_docbtn_download_pdf

PRACTICE INTEGRATION OF EPL MANAGEMENT SERVICES

Hear from real providers about how they integrated EPL services into their routine practice. Suggestions for implementation and evaluation of new services are presented.

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Assessment
Take the Practice Integration Quiz here or
Download a free copy of the quiz and answer sheet in (word or pdf format) to use in your teaching environment.
btn_download_docbtn_download_pdf

EPL MANAGEMENT IN LOW RESOURCE SETTINGS

Low resource settings present unique challenges to the evaluation, diagnosis and management of EPL. Using Mulago Hospital in Uganda as one example, adaptations and alterations of clinical protocols are reviewed.

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Assessment
Take the Low Resource Settings Quiz here or
Download a free copy of the quiz and answer sheet in (word or pdf format) to use in your teaching environment.
btn_download_docbtn_download_pdf

 

** You can also download free ibook versions of this video-based curriculum!

Part I. Clinician Guide for Managing Early Pregnancy Loss
– Includes the modules: Evaluation & Diagnosis, Counseling, Practice Integration, Low-Resource Settings

Part II. Clinician Guide for Managing Early Pregnancy Loss
– Includes the modules: Expectant Management, Medication Management, and Uterine Aspiration

 

PARTICIPANT SURVEY

Please complete this short survey after viewing the learning module. Your answers will help us better understand our learners and how to improve our curriculum for you.