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The existing qualitative literature on the experience of miscarriage has yet to address how to connect how these women perceive their care experience and the prevailing structures which may be at the root of why their experience continues to be challenging. This study aimed to look deeper into the sources of negative experiences of early pregnancy loss for insight into how to rethink where to make impactful changes to care. Phenomenologically informed interviews with 59 women revealed several points of tension in the framing of early pregnancy loss, including the view of miscarriage as common, of it as a medical versus emotional experience, and the assumptions around care needs. Our work suggests that these tensions need to be dismantled through more patient-centered approaches to patient\u2013provider relationships, policies, models of care, and medical discourse.<\/jats:p>","DOI":"10.1177\/1049732321994534","type":"journal-article","created":{"date-parts":[[2021,3,20]],"date-time":"2021-03-20T07:24:04Z","timestamp":1616225044000},"page":"1119-1128","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":16,"title":["Reframing How Early Pregnancy Loss Is Viewed in the Emergency Department"],"prefix":"10.1177","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2906-8813","authenticated-orcid":false,"given":"Katie N.","family":"Dainty","sequence":"first","affiliation":[{"name":"North York General Hospital, Toronto, Ontario, Canada"},{"name":"University of Toronto, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. Bianca","family":"Seaton","sequence":"additional","affiliation":[{"name":"North York General Hospital, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shelley","family":"McLeod","sequence":"additional","affiliation":[{"name":"University of Toronto, Toronto, Ontario, Canada"},{"name":"Schwartz\/Reisman Emergency Medicine Institute, Toronto, Ontario, Canada"},{"name":"Sinai Health Systems, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Modupe","family":"Tunde-Byass","sequence":"additional","affiliation":[{"name":"North York General Hospital, Toronto, Ontario, Canada"},{"name":"University of Toronto, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Tolhurst","sequence":"additional","affiliation":[{"name":"North York General Hospital, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vanessa","family":"Rojas-Luengas","sequence":"additional","affiliation":[{"name":"University of British Columbia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Darby","family":"Little","sequence":"additional","affiliation":[{"name":"University of Toronto, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine","family":"Varner","sequence":"additional","affiliation":[{"name":"University of Toronto, Toronto, Ontario, Canada"},{"name":"Schwartz\/Reisman Emergency Medicine Institute, Toronto, Ontario, Canada"},{"name":"Sinai Health Systems, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2021,3,20]]},"reference":[{"key":"bibr1-1049732321994534","doi-asserted-by":"crossref","unstructured":"Adolfsson A., Larsson P. 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