GP Management of Miscarriage in the BOP region Survey

Thank you for taking the time to read and complete our brief survey which should take no more than 5 minutes. The aim is to improve services to women in our region who experience miscarriage.

The majority of miscarriages are managed conservatively in the primary sector with up to 80% not requiring hospital treatment. RANZCOG advocates expectant management (wait and see) as first line for up to 14 days for women with a confirmed diagnosis of uncomplicated miscarriage and we support continued practise in accordance with this recommendation.

However, for the cases where expectant management has been unsuccessful, we are currently reviewing miscarriage services, particularly in light of the increasing use of medical induction as an alternative to evacuation of the uterus (ERPOC) under general anaesthetic.

This survey is to determine how miscarriages are currently managed in the community and whether there would be opportunities for GP’s to be involved in follow up of medically managed cases following an evidenced based protocol.

We appreciate your input and value a collective and inclusive approach to management of this sensitive issue within the BOPDHB.

Dr Richard Speed
Consultant Obstetrician and Gynaecologist

Dr Diana Fieldwick
Obstetrics and Gynaecology Senior House Officer

Dr Joe Bourne
GP Liaison and Clinical Director of Improvement and Innovation

GP Management of Miscarriage in the BOP region

Survey of BOP GP’s Regarding Miscarriage Management

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* 1. How often do you see women with an early pregnancy failure?

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* 2. Do you currently manage miscarriage conservatively (wait and see) in the community?

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* 3. If a stable woman presented with a scan report indicating missed miscarriage, how would you manage her initially?

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* 4. If a woman had miscarried in the community, would you normally follow her up?

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* 5. Are you comfortable following up women who have had an evacuation of the uterus (ERPOC)?

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* 6. If a woman underwent medical induction (with one to two doses of Misoprostol) through Gynae outpatients, would you be willing to follow her up? This would entail a pregnancy test and occasionally an ultrasound scan (offered free to the patient through Bethlehem and Medex Radiology).

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* 7. Additional Comments of relevance to this topic:

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* 8. What type of GP are you?

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* 9. Main area of work?

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* 10. Do you hold a diploma in Obstetrics and Gynaecology

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* 11. Number of years in general practice

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* 12. Which age group do you belong?

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* 13. Which ethnic group do you belong to?
Mark the space or spaces which apply to you.

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* 1. How often do you see women with an early pregnancy failure?

Question Title

* 2. Do you currently manage miscarriage conservatively (wait and see) in the community?

Question Title

* 3. If a stable woman presented with a scan report indicating missed miscarriage, how would you manage her initially?

Question Title

* 4. If a woman had miscarried in the community, would you normally follow her up?

Question Title

* 5. Are you comfortable following up women who have had an evacuation of the uterus (ERPOC)?

Question Title

* 6. If a woman underwent medical induction (with one to two doses of Misoprostol) through Gynae outpatients, would you be willing to follow her up? This would entail a pregnancy test and occasionally an ultrasound scan (offered free to the patient through Bethlehem and Medex Radiology).

Question Title

* 7. Additional Comments of relevance to this topic:

Question Title

* 8. What type of GP are you?

Question Title

* 9. Main area of work?

Question Title

* 10. Do you hold a diploma in Obstetrics and Gynaecology

Question Title

* 11. Number of years in general practice

Question Title

* 12. Which age group do you belong?

Question Title

* 13. Which ethnic group do you belong to? Mark the space or spaces which apply to you.

* 13. Which ethnic group do you belong to?
Mark the space or spaces which apply to you.