Unexpected termination of pregnancy for fetal anomaly: a patient resource manual

Greene, Ashley (2023) Unexpected termination of pregnancy for fetal anomaly: a patient resource manual. Practicum Report. Memorial University of Newfoundland. (Unpublished)

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Abstract

Background: Registered nurses (RNs) working in a Women’s Health Inpatient Unit (WHIU) encounter approximately 30 miscarriages and stillbirths per year, including the need for unexpected termination of pregnancies due to fetal anomaly. Many patients lack education or preparation for labour stimulation, leading to emotional distress. A patient resource manual (PRM) can help educate and assist to alleviate some distress for these patients and families. Purpose: To develop a resource for patients and families undergoing a planned termination of pregnancy for fetal anomaly. Methods: I completed a literature review, an environmental scan of local and regional facilities that offer planned pregnancy terminations, and consultations with local key stakeholders. Results: Findings from the literature review, consultations, and environment scan supported the need for an educational resource about the termination of pregnancy for patients and families. The most appropriate mode of delivery is a PRM in printable booklet form, and the content should include expectations with admission to the inpatient unit, the step-for-step labour process with vaginal delivery, and expectations for medication administration. Conclusion: The creation of the PRM, a patient guide to treatment for termination of pregnancy, is expected to enhance the knowledge of patients and families before beginning the termination process. It is further anticipated that this PRM will ease patient suffering and improve coping during the termination and subsequent bereavement process, leading to fewer adverse health outcomes for patients and families.

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