{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,19]],"date-time":"2026-07-19T03:11:20Z","timestamp":1784430680180,"version":"3.55.0"},"reference-count":66,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,10,17]],"date-time":"2025-10-17T00:00:00Z","timestamp":1760659200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000272","name":"National Institute for Health and Care Research","doi-asserted-by":"publisher","award":["NIHR303237"],"award-info":[{"award-number":["NIHR303237"]}],"id":[{"id":"10.13039\/501100000272","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJOG"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Stillbirth, second\u2010trimester miscarriage and recurrent miscarriage carry significant consequences for women. We lack sufficient high\u2010quality evidence of interventions to improve a woman's health and subsequent pregnancy outcomes after discharge to the community.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Assess the effectiveness of interventions to improve general health and subsequent pregnancy outcomes for non\u2010pregnant women who have had a stillbirth, second trimester miscarriage, or recurrent miscarriage.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Search Strategy<\/jats:title>\n                    <jats:p>Database searches were undertaken in August 2022 (updated March 2024) and limited to full\u2010text documents published from 1995.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Selection Criteria<\/jats:title>\n                    <jats:p>Interventions delivered after discharge for non\u2010pregnant women following a pregnancy loss.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data Collection and Analysis<\/jats:title>\n                    <jats:p>Screening was performed independently by two reviewers; narrative synthesis was undertaken. Risk of bias was assessed by RoB\u20102, ROBINS\u2010I or the Mixed Methods Appraisal Tool.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Results<\/jats:title>\n                    <jats:p>A total of 18\u2009603 abstracts screened; 196 full texts assessed and 15 papers included. The quality of evidence was low, and the primary aim of the review was not met due to limited evidence. All included studies aimed to improve mental health. No studies were identified that aimed to improve the physical health of women or subsequent pregnancy outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>There is a significant evidence gap regarding how best to care for women who experience pregnancy loss after discharge to the community. There is an urgent need for research to determine which interventions are most effective to improve a woman's short\u2010 and long\u2010term health and subsequent pregnancy outcomes following a stillbirth, second\u2010trimester miscarriage or recurrent miscarriage.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial Registration<\/jats:title>\n                    <jats:p>\n                      <jats:styled-content style=\"fixed-case\">PROSPERO<\/jats:styled-content>\n                      Registration: CRD42022360264\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1471-0528.70043","type":"journal-article","created":{"date-parts":[[2025,10,17]],"date-time":"2025-10-17T08:30:47Z","timestamp":1760689847000},"page":"365-374","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Interventions to Improve Outcomes After Pregnancy Loss: A Systematic Review"],"prefix":"10.1111","volume":"133","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9530-8387","authenticated-orcid":false,"given":"Becky","family":"MacGregor","sequence":"first","affiliation":[{"name":"Applied Health Sciences University of Birmingham  Birmingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samuel","family":"Madejowski","sequence":"additional","affiliation":[{"name":"Warwick Medical School University of Warwick  Coventry, West Midlands UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helen","family":"Leach","sequence":"additional","affiliation":[{"name":"Warwick Applied Health University of Warwick  Coventry, West Midlands UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Clare","family":"Macdonald","sequence":"additional","affiliation":[{"name":"Applied Health Sciences University of Birmingham  Birmingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeremy","family":"Dale","sequence":"additional","affiliation":[{"name":"Warwick Applied Health University of Warwick  Coventry, West Midlands UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy","family":"Grove","sequence":"additional","affiliation":[{"name":"School of Social Policy and Society University of Birmingham  Birmingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4303-7845","authenticated-orcid":false,"given":"Alexander E. 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