{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T08:40:31Z","timestamp":1792399231277,"version":"4.4.0"},"reference-count":27,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T00:00:00Z","timestamp":1792368000000},"content-version":"unspecified","delay-in-days":291,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Prim Health Care Res Dev"],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S1463423626101984_as1\">\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>This qualitative study describes patient perspectives on early pregnancy loss (EPL), the medical term for miscarriage, care in one federally qualified health centre (FQHC) that initiated provision of a mifepristone plus misoprostol regimen.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1463423626101984_as2\">\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>EPL is a common pregnancy complication that can generally be treated by primary care providers (PCPs), yet many PCPs report barriers to providing the most effective medication regimen: mifepristone plus misoprostol. Limited data exist on patient experiences with EPL in the primary care setting.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1463423626101984_as3\">\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Researchers conducted semi-structured interviews with a sample of patients who received EPL care from one Illinois FQHC between 2021 and 2022. Interview transcripts were coded and analysed to identify themes regarding how primary care can address patients\u2019 needs when experiencing pregnancy loss.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1463423626101984_as4\">\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Participants (\n                      <jats:italic>n<\/jats:italic>\n                      = 16) expressed satisfaction with EPL management at the FQHC, specifically that the option of medication management eased concerns about potential complications and provided clear expectations of the passage of the pregnancy. Medication management became a more accessible option for patients after the clinic began stocking mifepristone. Participant suggestions to improve EPL management in primary care included stronger and\/or more timely analgesia, increased education, and mental health support. Participants identified barriers to EPL care including difficulty scheduling visits and perceived lack of urgency when triaged by clinic staff.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1463423626101984_as5\">\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Patients report comfort with and interest in the option of medication management for EPL in the community-based primary care setting. Barriers in primary care clinic infrastructure and logistics must be considered and optimized to provide timely and safe EPL care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s1463423626101984","type":"journal-article","created":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T07:54:22Z","timestamp":1792396462000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["Patient experience with early pregnancy loss in the primary care setting: a qualitative study"],"prefix":"10.1017","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-9298-8608","authenticated-orcid":false,"given":"Lauren E.","family":"Harriett","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/024mw5h28","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Chicago Biological Sciences Division: University of Chicago"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5302-6330","authenticated-orcid":false,"given":"Sumiko","family":"Maristany","sequence":"additional","affiliation":[{"name":"Contra Costa Regional Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-3774-0856","authenticated-orcid":false,"given":"Lorna","family":"Sanchez","sequence":"additional","affiliation":[{"name":"University of Chicago Pritzker School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7871-5151","authenticated-orcid":false,"given":"Catherine","family":"Hennessey","sequence":"additional","affiliation":[{"name":"Weill Cornell Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8668-0454","authenticated-orcid":false,"given":"Julie","family":"Chor","sequence":"additional","affiliation":[{"name":"University of Chicago Department of Obstetrics and Gynecology"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9942-0862","authenticated-orcid":false,"given":"Debra B.","family":"Stulberg","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/024mw5h28","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Chicago Biological Sciences Division: University of Chicago"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2026,10,19]]},"reference":[{"key":"S1463423626101984_ref8","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2009.1454"},{"key":"S1463423626101984_ref11","doi-asserted-by":"publisher","DOI":"10.1097\/ACM.0000000000000388"},{"key":"S1463423626101984_ref4","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2021.04.002"},{"key":"S1463423626101984_ref6","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000223206.64144.68"},{"key":"S1463423626101984_ref13","doi-asserted-by":"publisher","DOI":"10.1111\/j.1524-4733.2008.00459.x"},{"key":"S1463423626101984_ref3","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2023.13628"},{"key":"S1463423626101984_ref16","doi-asserted-by":"crossref","first-page":"790","DOI":"10.1056\/NEJMsb1612526","article-title":"Mifeprex REMS Study Group sixteen years of overregulation: Time to unburden 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Procedures for Developing Grounded Theory","author":"Corbin","year":"2014"},{"key":"S1463423626101984_ref10","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000003571"},{"key":"S1463423626101984_ref14","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2020.03.016"},{"key":"S1463423626101984_ref9","first-page":"1","article-title":"Patient perspectives on accessing medication abortion at a family medicine-led community health center: An opportunity for person-centered care","volume":"7","author":"Hennessey","year":"2026","journal-title":"Women\u2019s Health Reports"},{"key":"S1463423626101984_ref20","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000001753"},{"key":"S1463423626101984_ref21","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1715726"},{"key":"S1463423626101984_ref18","doi-asserted-by":"publisher","DOI":"10.3122\/jabfm.2008.02.070158"},{"key":"S1463423626101984_ref7","doi-asserted-by":"publisher","DOI":"10.4324\/9780203793206"},{"key":"S1463423626101984_ref1","unstructured":"ACOG (November 2018) The American College of Obstetricians and Gynecologists. Early Pregnancy Loss Practice Bulletin, Number 200. Available at https:\/\/www.acog.org\/clinical\/clinical-guidance\/practice-bulletin\/articles\/2018\/11\/early-pregnancy-loss (accessed 12 December 2024)."},{"key":"S1463423626101984_ref19","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2023.110280"},{"key":"S1463423626101984_ref23","doi-asserted-by":"publisher","DOI":"10.22454\/FamMed.2020.130959"},{"key":"S1463423626101984_ref24","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2010.10.031"},{"key":"S1463423626101984_ref25","first-page":"697","article-title":"A qualitative investigation into women\u2019s experiences after a miscarriage: Implications for the primary healthcare team","volume":"53","author":"Wong","year":"2003","journal-title":"British Journal of General Practice"},{"key":"S1463423626101984_ref26","first-page":"98","article-title":"Women\u2019s satisfaction with abortion care in academic family medicine centers","volume":"47","author":"Wu","year":"2015","journal-title":"Family Medicine"},{"key":"S1463423626101984_ref15","doi-asserted-by":"publisher","DOI":"10.3122\/jabfm.2010.04.090229"}],"container-title":["Primary Health Care Research &amp; Development"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1463423626101984","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T07:54:26Z","timestamp":1792396466000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1463423626101984\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":27,"alternative-id":["S1463423626101984"],"URL":"https:\/\/doi.org\/10.1017\/s1463423626101984","relation":{},"ISSN":["1463-4236","1477-1128"],"issn-type":[{"value":"1463-4236","type":"print"},{"value":"1477-1128","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026]]},"assertion":[{"value":"\u00a9 The Author(s), 2026. Published by Cambridge University Press","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives licence (https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided that no alterations are made and the original article is properly cited. The written permission of Cambridge University Press or the rights holder(s) must be obtained prior to any commercial use and\/or adaptation of the article.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}],"article-number":"e126"}}