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Exploring parents' experiences and holistic needs following late miscarriage: a narrative systematic review.

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Title: Exploring parents' experiences and holistic needs following late miscarriage: a narrative systematic review.
Authors: Giannatiempo, Francesca, Hollins Martin, Caroline, Patterson, Jenny, Welsh, Nicola
Source: Journal of Reproductive & Infant Psychology. Jul2025, Vol. 43 Issue 4, p879-904. 26p.
Subjects: Miscarriage, Holistic medicine, Research funding, CINAHL database, Second trimester of pregnancy, Parent attitudes, Perinatal death, Systematic reviews, MEDLINE, Bereavement, Needs assessment, Psychology information storage & retrieval systems
Abstract: Background: Up to 2% of all pregnancies result in pregnancy loss between 14 + 0 and 23 + 6 weeks' gestation, which is defined as 'late miscarriage'. Lack of consensus about definition of viability paired with existing multiple definitions of perinatal loss make it difficult to define the term 'late miscarriage'. Parents who experience late miscarriage often have had reassuring scan-milestones, which established their confidence in healthy pregnancy progression and identity formation, which socially integrates their baby into their family. The clinical lexicon alongside the lack of support offered to parents experiencing late miscarriage may disclaim their needs, which has potential to cause adverse psychological responses. Aim: To review what primary research reports about parents' experiences and their perceived holistic needs following late miscarriage. Methods: A narrative systematic review was carried out. Papers were screened based on gestational age at time of loss (i.e. between 14 + 0 and 23 + 6 weeks' gestation). The focus was set on experience and holistic needs arising from the loss rather than its clinical care and pathophysiology. Studies were selected using PRISMA-S checklist, and quality assessed using the Critical Appraisal Skills Program (CASP) tool. Thematic analysis was used to guide the narrative synthesis of findings. Results: Six studies met the inclusion criteria. Three main themes emerged: communication and information-giving; feelings post-event; and impact of support provision. Conclusion: Literature about the experience of late miscarriage is scarce, with what was found reporting a lack of compassionate and individually tailored psychological follow-up care for parents following late miscarriage. Hence, more research in this arena is required to inform and develop this area of maternity care provision. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Reproductive & Infant Psychology is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Exploring parents' experiences and holistic needs following late miscarriage: a narrative systematic review.
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  Data: <searchLink fieldCode="AR" term="%22Giannatiempo%2C+Francesca%22">Giannatiempo, Francesca</searchLink><br /><searchLink fieldCode="AR" term="%22Hollins+Martin%2C+Caroline%22">Hollins Martin, Caroline</searchLink><br /><searchLink fieldCode="AR" term="%22Patterson%2C+Jenny%22">Patterson, Jenny</searchLink><br /><searchLink fieldCode="AR" term="%22Welsh%2C+Nicola%22">Welsh, Nicola</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Reproductive+%26+Infant+Psychology%22">Journal of Reproductive & Infant Psychology</searchLink>. Jul2025, Vol. 43 Issue 4, p879-904. 26p.
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  Data: <searchLink fieldCode="DE" term="%22Miscarriage%22">Miscarriage</searchLink><br /><searchLink fieldCode="DE" term="%22Holistic+medicine%22">Holistic medicine</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22CINAHL+database%22">CINAHL database</searchLink><br /><searchLink fieldCode="DE" term="%22Second+trimester+of+pregnancy%22">Second trimester of pregnancy</searchLink><br /><searchLink fieldCode="DE" term="%22Parent+attitudes%22">Parent attitudes</searchLink><br /><searchLink fieldCode="DE" term="%22Perinatal+death%22">Perinatal death</searchLink><br /><searchLink fieldCode="DE" term="%22Systematic+reviews%22">Systematic reviews</searchLink><br /><searchLink fieldCode="DE" term="%22MEDLINE%22">MEDLINE</searchLink><br /><searchLink fieldCode="DE" term="%22Bereavement%22">Bereavement</searchLink><br /><searchLink fieldCode="DE" term="%22Needs+assessment%22">Needs assessment</searchLink><br /><searchLink fieldCode="DE" term="%22Psychology+information+storage+%26+retrieval+systems%22">Psychology information storage & retrieval systems</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Background: Up to 2% of all pregnancies result in pregnancy loss between 14 + 0 and 23 + 6 weeks' gestation, which is defined as 'late miscarriage'. Lack of consensus about definition of viability paired with existing multiple definitions of perinatal loss make it difficult to define the term 'late miscarriage'. Parents who experience late miscarriage often have had reassuring scan-milestones, which established their confidence in healthy pregnancy progression and identity formation, which socially integrates their baby into their family. The clinical lexicon alongside the lack of support offered to parents experiencing late miscarriage may disclaim their needs, which has potential to cause adverse psychological responses. Aim: To review what primary research reports about parents' experiences and their perceived holistic needs following late miscarriage. Methods: A narrative systematic review was carried out. Papers were screened based on gestational age at time of loss (i.e. between 14 + 0 and 23 + 6 weeks' gestation). The focus was set on experience and holistic needs arising from the loss rather than its clinical care and pathophysiology. Studies were selected using PRISMA-S checklist, and quality assessed using the Critical Appraisal Skills Program (CASP) tool. Thematic analysis was used to guide the narrative synthesis of findings. Results: Six studies met the inclusion criteria. Three main themes emerged: communication and information-giving; feelings post-event; and impact of support provision. Conclusion: Literature about the experience of late miscarriage is scarce, with what was found reporting a lack of compassionate and individually tailored psychological follow-up care for parents following late miscarriage. Hence, more research in this arena is required to inform and develop this area of maternity care provision. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Journal of Reproductive & Infant Psychology is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1080/02646838.2023.2297905
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 26
        StartPage: 879
    Subjects:
      – SubjectFull: Miscarriage
        Type: general
      – SubjectFull: Holistic medicine
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: CINAHL database
        Type: general
      – SubjectFull: Second trimester of pregnancy
        Type: general
      – SubjectFull: Parent attitudes
        Type: general
      – SubjectFull: Perinatal death
        Type: general
      – SubjectFull: Systematic reviews
        Type: general
      – SubjectFull: MEDLINE
        Type: general
      – SubjectFull: Bereavement
        Type: general
      – SubjectFull: Needs assessment
        Type: general
      – SubjectFull: Psychology information storage & retrieval systems
        Type: general
    Titles:
      – TitleFull: Exploring parents' experiences and holistic needs following late miscarriage: a narrative systematic review.
        Type: main
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          Name:
            NameFull: Giannatiempo, Francesca
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            NameFull: Hollins Martin, Caroline
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            NameFull: Patterson, Jenny
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            NameFull: Welsh, Nicola
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          Dates:
            – D: 01
              M: 07
              Text: Jul2025
              Type: published
              Y: 2025
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              Value: 43
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            – TitleFull: Journal of Reproductive & Infant Psychology
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