{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T04:02:29Z","timestamp":1778817749084,"version":"3.51.4"},"reference-count":47,"publisher":"Elsevier BV","issue":"2","license":[{"start":{"date-parts":[[2018,3,1]],"date-time":"2018-03-01T00:00:00Z","timestamp":1519862400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2018,3,1]],"date-time":"2018-03-01T00:00:00Z","timestamp":1519862400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","jenonline.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Emergency Nursing"],"published-print":{"date-parts":[[2018,3]]},"DOI":"10.1016\/j.jen.2017.11.001","type":"journal-article","created":{"date-parts":[[2017,12,6]],"date-time":"2017-12-06T02:30:16Z","timestamp":1512527416000},"page":"146-155","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":23,"title":["A Review of the Management of Loss of Pregnancy in the Emergency Department"],"prefix":"10.1016","volume":"44","author":[{"given":"Brittany E.","family":"Punches","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kimberly D.","family":"Johnson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gordon L.","family":"Gillespie","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shauna A.","family":"Acquavita","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dianne M.","family":"Felblinger","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"issue":"5","key":"10.1016\/j.jen.2017.11.001_bb0005","first-page":"523.e1","article-title":"United states emergency department visits for vaginal bleeding during early pregnancy, 1993\u20132003","volume":"198","author":"Wittels","year":"2008","journal-title":"Obstet Gynecol"},{"issue":"2","key":"10.1016\/j.jen.2017.11.001_bb0010","first-page":"119","article-title":"Beta human chorionic gonadotropin levels and the likelihood of ectopic pregnancy in emergency department patients with abdominal pain or vaginal bleeding","volume":"10","author":"Kohn","year":"2003","journal-title":"Acad Emerg Med"},{"issue":"6776","key":"10.1016\/j.jen.2017.11.001_bb0015","doi-asserted-by":"crossref","first-page":"577","DOI":"10.1136\/bmj.302.6776.577","article-title":"Management of women referred to early pregnancy assessment unit: care and cost effectiveness","volume":"302","author":"Bigrigg","year":"1991","journal-title":"BMJ"},{"issue":"2","key":"10.1016\/j.jen.2017.11.001_bb0020","doi-asserted-by":"crossref","first-page":"108","DOI":"10.1111\/j.1479-828X.2005.00351.x","article-title":"Impact of an early pregnancy problem service on patient care and emergency department presentations","volume":"45","author":"Brownlea","year":"2005","journal-title":"Aust N Z J Obstet Gynaecol"},{"issue":"1","key":"10.1016\/j.jen.2017.11.001_bb0025","doi-asserted-by":"crossref","first-page":"110","DOI":"10.1111\/j.1479-828X.2009.00954.x","article-title":"The early pregnancy assessment project: the effect of cooperative care in the emergency department for management of early pregnancy complications","volume":"49","author":"O\u2019Rourke","year":"2009","journal-title":"Aust N Z J Obstet Gynaecol"},{"issue":"2","key":"10.1016\/j.jen.2017.11.001_bb0030","first-page":"37","article-title":"Caring in the instance of unexpected early pregnancy loss","volume":"8","author":"Swanson-Kauffman","year":"1986","journal-title":"Top Clin Nurs"},{"issue":"1","key":"10.1016\/j.jen.2017.11.001_bb0035","first-page":"54","article-title":"The emotional trauma of miscarriage in the emergency department: a first-person account","volume":"18","author":"Steele","year":"1992","journal-title":"J Emerg Nurs"},{"issue":"5","key":"10.1016\/j.jen.2017.11.001_bb0040","doi-asserted-by":"crossref","first-page":"546","DOI":"10.1111\/j.1365-2648.2005.03621.x","article-title":"The integrative review: Updated methodology","volume":"52","author":"Whittemore","year":"2005","journal-title":"J Adv Nurs"},{"key":"10.1016\/j.jen.2017.11.001_bb0045","series-title":"Evidence-Based Practice in Nursing and Healthcare: A Guide to Best Practice","author":"Melnyk","year":"2011"},{"issue":"7","key":"10.1016\/j.jen.2017.11.001_bb0050","doi-asserted-by":"crossref","first-page":"29","DOI":"10.7748\/en2011.11.19.7.29.c8814","article-title":"Management of miscarriage and ectopic pregnancy","volume":"19","author":"Marquardt","year":"2011","journal-title":"Emerg Nurse"},{"issue":"6","key":"10.1016\/j.jen.2017.11.001_bb0055","doi-asserted-by":"crossref","first-page":"730","DOI":"10.1111\/j.1552-6909.2009.01075.x","article-title":"A collaborative framework for managing pregnancy loss in the emergency department","volume":"38","author":"Bacidore","year":"2009","journal-title":"J Obstet Gynecol Neonatal Nurs"},{"issue":"2","key":"10.1016\/j.jen.2017.11.001_bb0060","doi-asserted-by":"crossref","DOI":"10.2146\/ajhp120069","article-title":"Management of first-trimester complications in the emergency department","volume":"70","author":"Murtaza","year":"2013","journal-title":"Am J Health Syst Pharm"},{"issue":"4","key":"10.1016\/j.jen.2017.11.001_bb0065","doi-asserted-by":"crossref","first-page":"182","DOI":"10.1016\/S0965-2302(96)90077-6","article-title":"Nursing management in the accident and emergency department of women undergoing a miscarriage","volume":"4","author":"Stead","year":"1996","journal-title":"Accid Emerg Nurs"},{"issue":"7","key":"10.1016\/j.jen.2017.11.001_bb0070","doi-asserted-by":"crossref","first-page":"707","DOI":"10.1016\/j.cca.2011.12.018","article-title":"Serum activin A does not predict ectopic pregnancy as a single measurement test, alone or as part of a multi-marker panel including progesterone and hCG","volume":"413","author":"Warrick","year":"2012","journal-title":"Clin Chim Acta"},{"issue":"13","key":"10.1016\/j.jen.2017.11.001_bb0075","doi-asserted-by":"crossref","first-page":"1257","DOI":"10.1016\/j.clinbiochem.2013.06.019","article-title":"Single point biochemical measurement algorithm for early diagnosis of ectopic pregnancy","volume":"46","author":"Butler","year":"2013","journal-title":"Clin Biochem"},{"issue":"11","key":"10.1016\/j.jen.2017.11.001_bb0080","doi-asserted-by":"crossref","first-page":"1263","DOI":"10.7205\/MILMED-D-14-00049","article-title":"Do all women with indeterminate pregnancies need a formal ultrasound before discharge from the emergency department?","volume":"179","author":"Kus","year":"2014","journal-title":"Mil Med"},{"issue":"1","key":"10.1016\/j.jen.2017.11.001_bb0085","first-page":"58.e1","article-title":"Sensitivity and specificity of a urinary screening test used in an emergency setting to detect abnormal first trimester pregnancies","volume":"212","author":"Teixeira","year":"2015","journal-title":"Obstet Gynecol"},{"issue":"1","key":"10.1016\/j.jen.2017.11.001_bb0090","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1016\/j.jemermed.2004.02.009","article-title":"Qualitative \u03b2-hCG urine assays may be misleading in the presence of molar pregnancy: a case report","volume":"27","author":"Davison","year":"2004","journal-title":"J Emerg Med"},{"issue":"9","key":"10.1016\/j.jen.2017.11.001_bb0095","first-page":"757","article-title":"Endometrial stripe thickness and pregnancy outcome in first-trimester pregnancies with bleeding, pain or both","volume":"52","author":"Seeber","year":"2007","journal-title":"J Reprod Med"},{"issue":"3","key":"10.1016\/j.jen.2017.11.001_bb0100","doi-asserted-by":"crossref","first-page":"399","DOI":"10.1016\/j.ajem.2010.12.021","article-title":"Fetal loss in symptomatic first-trimester pregnancy with documented yolk sac intrauterine pregnancy","volume":"30","author":"Hessert","year":"2012","journal-title":"Am J Emerg Med"},{"issue":"3","key":"10.1016\/j.jen.2017.11.001_bb0105","doi-asserted-by":"crossref","first-page":"417","DOI":"10.1016\/j.jemermed.2011.05.021","article-title":"Fetal outcomes in first trimester pregnancies with an indeterminate ultrasound","volume":"43","author":"Juliano","year":"2012","journal-title":"J Emerg Med"},{"issue":"3","key":"10.1016\/j.jen.2017.11.001_bb0110","doi-asserted-by":"crossref","first-page":"472","DOI":"10.1016\/j.ajem.2010.12.023","article-title":"Prospective outcomes of pregnant ED patients with documented fetal cardiac activity on ultrasound","volume":"30","author":"Mallin","year":"2012","journal-title":"Am J Emerg Med"},{"issue":"6","key":"10.1016\/j.jen.2017.11.001_bb0115","doi-asserted-by":"crossref","first-page":"444","DOI":"10.1136\/emj.18.6.444","article-title":"Use of anti-D immunoglobulin in the treatment of threatened miscarriage in the accident and emergency department","volume":"18","author":"Weinberg","year":"2001","journal-title":"Emerg Med J"},{"issue":"1","key":"10.1016\/j.jen.2017.11.001_bb0120","doi-asserted-by":"crossref","first-page":"123","DOI":"10.1067\/mem.2003.13","article-title":"Clinical policy: Critical issues in the initial evaluation and management of patients presenting to the emergency department in early pregnancy","volume":"41","author":"ACEP","year":"2003","journal-title":"Ann Emerg Med"},{"issue":"6","key":"10.1016\/j.jen.2017.11.001_bb0125","doi-asserted-by":"crossref","first-page":"591","DOI":"10.1016\/j.ajem.2006.11.020","article-title":"Diagnosis and management of ectopic pregnancy using bedside transvaginal ultrasonography in the ED: a 2-year experience","volume":"25","author":"Adhikari","year":"2007","journal-title":"Am J Emerg Med"},{"issue":"4","key":"10.1016\/j.jen.2017.11.001_bb0130","doi-asserted-by":"crossref","first-page":"355","DOI":"10.1017\/S1481803500011416","article-title":"Diagnostic accuracy and clinical utility of emergency department targeted ultrasonography in the evaluation of first-trimester pelvic pain and bleeding: a systematic review","volume":"11","author":"McRae","year":"2009","journal-title":"CJEM"},{"issue":"6","key":"10.1016\/j.jen.2017.11.001_bb0135","first-page":"440","article-title":"Review article: The use of pelvic examination within the emergency department in the assessment of early pregnancy bleeding","volume":"21","author":"Isoardi","year":"2009","journal-title":"EMA"},{"issue":"3","key":"10.1016\/j.jen.2017.11.001_bb0140","first-page":"219","article-title":"Vaginal examination does not improve diagnostic accuracy in early pregnancy bleeding","volume":"25","author":"Johnstone","year":"2013","journal-title":"EMA"},{"issue":"2","key":"10.1016\/j.jen.2017.11.001_bb0145","doi-asserted-by":"crossref","first-page":"213","DOI":"10.1016\/j.ajem.2008.10.018","article-title":"Pelvic examination is unnecessary in pregnant patients with a normal bedside ultrasound","volume":"28","author":"Seymour","year":"2010","journal-title":"Am J Emerg Med"},{"issue":"4","key":"10.1016\/j.jen.2017.11.001_bb0150","doi-asserted-by":"crossref","first-page":"461","DOI":"10.1136\/emj.2003.012443","article-title":"Does speculum examination have a role in assessing bleeding in early pregnancy?","volume":"21","author":"Hoey","year":"2004","journal-title":"Emerg Med J"},{"issue":"3","key":"10.1016\/j.jen.2017.11.001_bb0155","doi-asserted-by":"crossref","first-page":"e129","DOI":"10.1016\/j.jemermed.2015.11.007","article-title":"Ultrasonographic diagnosis of intrauterine fetal decapitation secondary to amniotic band sequence: a case report","volume":"50","author":"Proffitt","year":"2016","journal-title":"J Emerg Med"},{"key":"10.1016\/j.jen.2017.11.001_bb0160","first-page":"327836","article-title":"A foreign body in the cervix after spontaneous abortion: a rare case of a traumatic fetal decapitation","volume":"2014","author":"Holland","year":"2014","journal-title":"Case Rep Emerg Med"},{"issue":"7","key":"10.1016\/j.jen.2017.11.001_bb0165","first-page":"654","article-title":"Coexisting ectopic and intrauterine pregnancies: a case report","volume":"52","author":"Sheikh","year":"2007","journal-title":"J Reprod Med"},{"issue":"2","key":"10.1016\/j.jen.2017.11.001_bb0170","doi-asserted-by":"crossref","first-page":"151","DOI":"10.1080\/10408360601003143","article-title":"Tumor markers in biological fluids associated with pregnancy","volume":"44","author":"Sarandakou","year":"2007","journal-title":"Crit Rev Clin Lab Sci"},{"issue":"3","key":"10.1016\/j.jen.2017.11.001_bb0175","doi-asserted-by":"crossref","first-page":"381","DOI":"10.1016\/j.annemergmed.2012.04.021","article-title":"Clinical policy: critical issues in the initial evaluation and management of patients presenting to the emergency department in early pregnancy","volume":"60","author":"Hahn","year":"2012","journal-title":"Ann Emerg Med"},{"issue":"6","key":"10.1016\/j.jen.2017.11.001_bb0180","first-page":"501","article-title":"An investigation of emergency department patients' perceptions of their miscarriage experience","volume":"18","author":"Koziol-McLain","year":"1992","journal-title":"J Emerg Nurs"},{"issue":"5","key":"10.1016\/j.jen.2017.11.001_bb0185","doi-asserted-by":"crossref","first-page":"799","DOI":"10.1016\/S0196-0644(05)80794-2","article-title":"Loss and grief reactions after spontaneous miscarriage in the emergency department","volume":"22","author":"Zaccardi","year":"1993","journal-title":"Ann Emerg Med"},{"issue":"2","key":"10.1016\/j.jen.2017.11.001_bb0190","doi-asserted-by":"crossref","first-page":"68","DOI":"10.1016\/0965-2302(95)90086-1","article-title":"Miscarriage counselling: an accident and emergency perspective","volume":"3","author":"Ramsden","year":"1995","journal-title":"Accid Emerg Nurs"},{"issue":"2","key":"10.1016\/j.jen.2017.11.001_bb0195","doi-asserted-by":"crossref","first-page":"158","DOI":"10.1016\/j.jen.2012.08.006","article-title":"Early pregnancy loss and bereavement in the emergency department: staff and patient satisfaction with an early fetal bereavement program","volume":"39","author":"Zavotsky","year":"2013","journal-title":"J Emerg Nurs"},{"issue":"6","key":"10.1016\/j.jen.2017.11.001_bb0200","doi-asserted-by":"crossref","first-page":"504","DOI":"10.1016\/j.jen.2016.05.011","article-title":"Understanding the experience of miscarriage in the emergency department","volume":"42","author":"MacWilliams","year":"2016","journal-title":"J Emerg Nurs"},{"issue":"2","key":"10.1016\/j.jen.2017.11.001_bb0205","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1016\/j.aenj.2012.01.003","article-title":"An evaluation of early pregnancy outcomes in one Australian emergency department: part 2","volume":"15","author":"Wendt","year":"2012","journal-title":"Australas Emerg Nurs J"},{"issue":"e1","key":"10.1016\/j.jen.2017.11.001_bb0210","doi-asserted-by":"crossref","first-page":"e50","DOI":"10.1136\/emermed-2013-202887","article-title":"An outcomes evaluation of an emergency department early pregnancy assessment service and early pregnancy assessment protocol","volume":"31","author":"Wendt","year":"2014","journal-title":"Emerg Med J"},{"issue":"6","key":"10.1016\/j.jen.2017.11.001_bb0215","doi-asserted-by":"crossref","first-page":"513","DOI":"10.1016\/j.jen.2006.07.011","article-title":"Caring for the patient with a spontaneous abortion","volume":"32","author":"Covington","year":"2006","journal-title":"J Emerg Nurs"},{"issue":"6","key":"10.1016\/j.jen.2017.11.001_bb0220","first-page":"521","article-title":"Better ways to treat women with miscarriages: using a patient complaint to improve emergency department care","volume":"20","author":"Dougherty","year":"1994","journal-title":"J Emerg Nurs"},{"issue":"6","key":"10.1016\/j.jen.2017.11.001_bb0225","first-page":"367","article-title":"Miscarriage: the parents' point of view","volume":"14","author":"Hutti","year":"1988","journal-title":"J Emerg Nurs"},{"issue":"2","key":"10.1016\/j.jen.2017.11.001_bb0230","doi-asserted-by":"crossref","first-page":"132","DOI":"10.1111\/j.0730-7659.2004.00291.x","article-title":"The role of caregivers after a stillbirth: views and experiences of parents","volume":"31","author":"S\u00e4flund","year":"2004","journal-title":"Birth"},{"issue":"6","key":"10.1016\/j.jen.2017.11.001_bb0235","doi-asserted-by":"crossref","first-page":"543","DOI":"10.1080\/07399330490444821","article-title":"Guilt and emptiness: women's experiences of miscarriage","volume":"25","author":"Adolfsson","year":"2004","journal-title":"Health Care Women Int"}],"container-title":["Journal of Emergency Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0099176717300855?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0099176717300855?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,9,25]],"date-time":"2025-09-25T19:37:36Z","timestamp":1758829056000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0099176717300855"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,3]]},"references-count":47,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2018,3]]}},"alternative-id":["S0099176717300855"],"URL":"https:\/\/doi.org\/10.1016\/j.jen.2017.11.001","relation":{},"ISSN":["0099-1767"],"issn-type":[{"value":"0099-1767","type":"print"}],"subject":[],"published":{"date-parts":[[2018,3]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"A Review of the Management of Loss of Pregnancy in the Emergency Department","name":"articletitle","label":"Article Title"},{"value":"Journal of Emergency Nursing","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jen.2017.11.001","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2017 Emergency Nurses Association. Published by Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}