Central Clinical School, Monash University, Melbourne, VIC, Australia; Department of General Practice, University of Melbourne, Parkville, VIC, Australia; Melbourne Sexual Health Centre, Alfred Health, Carlton, VIC, Australia.
Department of General Practice, University of Melbourne, Parkville, VIC, Australia; Melbourne Sexual Health Centre, Alfred Health, Carlton, VIC, Australia.
Fertil Steril. 2023 Nov;120(5):937-939. doi: 10.1016/j.fertnstert.2023.08.951. Epub 2023 Aug 28.
Miscarriage and recurrent miscarriage affect a significant proportion of every population with research consistently showing it results in profound and often prolonged psychological impacts. Despite the serious psychological impacts, support for miscarriage remains grossly inadequate. There are many ways to ameliorate the impact of these losses, which are not difficult, expensive, or time consuming. At a basic level, people want and need acknowledgment and validation of their grief and loss and greater information provision at the time of loss. A clear discrepancy also exists between the bereavement care offered by health care providers and the care wanted and needed by those affected, that must be addressed as a matter of urgency. At a health care system level, the collection of national miscarriage data must begin, to allow for a true understanding of the socioeconomic cost of miscarriage and the burden of early pregnancy loss on individuals, families, and our social systems. Furthermore, to direct research funding appropriately, establishing national research funding priorities for miscarriage support, as they have in the United Kingdom, is vital in assisting researchers and other key stakeholders to effectively target research in areas that are likely to have the greatest public health benefit. Consumers, health practitioners, and policymakers could achieve a lot for many with just a little commitment to change.
流产和反复流产影响着每一个人群中的很大一部分,研究一直表明,这会对心理造成深远且常常是持久的影响。尽管流产带来了严重的心理影响,但对其的支持仍然严重不足。有许多方法可以减轻这些损失的影响,这些方法并不难、昂贵或耗时。在基本层面上,人们希望并需要他人承认和验证他们的悲痛和失落,并在失去时提供更多的信息。在卫生保健提供者提供的丧亲护理和那些受影响的人所希望和需要的护理之间,也存在明显的差异,必须作为紧急事项加以解决。在医疗保健系统层面,必须开始收集国家流产数据,以便真正了解流产的社会经济成本以及早期妊娠损失对个人、家庭和我们的社会系统的负担。此外,为了适当引导研究资金,像英国那样为流产支持确定国家研究资金优先事项,对于指导研究人员和其他利益攸关方将研究重点放在可能产生最大公共卫生效益的领域至关重要。消费者、卫生保健从业者和政策制定者只需做出一点改变的承诺,就可以为许多人带来巨大的改变。