Miscarriage Care and Facilities in Scotland: Scoping Report NHS Borders

Miscarriage management and information

The Lancet series on Miscarriage Matters stated that women should be presented with the available evidence about miscarriage management and be free to choose the management approach that suits their needs and preferences.

Choice of management option

All Health Boards in Scotland reported that they ensure women can choose their preferred method of management of miscarriage. However, the geography in Scotland has implications for women in terms of how they can access their chosen approach.

NHS Borders reported that all management options asked about are provided at Borders General Hospital.

Written information

All Health Boards in Scotland said that they provide written information about the treatment options for the management of miscarriage and what to expect in terms of miscarriage care. However, not all sites where women may present for miscarriage care said that they provide written information on treatment options or what to expect.

In NHS Borders, Borders General Hospital noted that the same pathway of care for miscarriage treatment is used across all available departments on the site, with all staff having access to, and following, the clinical guidance on miscarriage (Table 14).

Borders General Hospital reported that written information about the management of miscarriage and what to expect next is currently provided as well as written information about mental health and bereavement support.

Information about management options

As well as written information, Borders General Hospital agreed that what will happen during and after the chosen method of management of miscarriage, and what happens in terms of follow-up after the management of miscarriage, is fully explained to women (Table 15).