What questions should be asked to a patient reporting a miscarriage at a clinic?

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Essential Questions for Patients Reporting Miscarriage

When a patient reports a miscarriage, immediately establish the pregnancy status, bleeding severity, hemodynamic stability, and exclude ectopic pregnancy through systematic questioning about symptoms, timing, and risk factors. 1

Immediate Assessment: Confirm Pregnancy and Exclude Life-Threatening Conditions

Pregnancy Confirmation and Dating

  • When was your last menstrual period? This establishes gestational age and helps determine appropriate diagnostic criteria 2, 1
  • Have you had a positive pregnancy test? Confirm pregnancy status with timing of the test 2
  • Do you know how far along you were in the pregnancy? Essential for interpreting ultrasound findings and management decisions 1
  • Have you had any ultrasounds during this pregnancy? Previous imaging provides baseline information about fetal development 2, 1

Critical Differential Diagnosis: Ectopic Pregnancy

  • Where is your pain located? Unilateral or severe abdominal pain raises concern for ectopic pregnancy 1
  • Do you have shoulder pain? This may indicate intraperitoneal bleeding from ruptured ectopic pregnancy 1
  • Have you had dizziness or feeling faint? Suggests hemodynamic instability from hemorrhage 1

Bleeding Assessment

  • When did the bleeding start? Timing helps classify the type of miscarriage 2, 1
  • How heavy is the bleeding? Quantify by number of pads soaked per hour; soaking more than 2 pads per hour suggests significant hemorrhage 1
  • Have you passed any tissue or clots? Passage of tissue may indicate incomplete or complete miscarriage 2, 1
  • What does the tissue look like? Description helps differentiate gestational sac from blood clots 2

Obstetric and Gynecologic History

Current Pregnancy History

  • Have you had any cramping or abdominal pain? Characterize location, severity, and timing 1
  • Have you had fever or chills? Suggests possible infection requiring urgent intervention 1
  • Have you had any vaginal discharge with unusual odor? May indicate infection 1
  • Was this pregnancy planned? Affects counseling and emotional support needs 2, 3
  • Did you use assisted reproduction? IVF pregnancies may have different management considerations 2

Previous Pregnancy History

  • How many times have you been pregnant (gravidity)? 2, 3
  • How many deliveries have you had (parity)? 2, 3
  • Have you had previous miscarriages? Number and timing of previous losses; recurrent miscarriage (≥3 losses) requires specialized evaluation 2, 4
  • What was the outcome of your previous pregnancies? Include live births, stillbirths, ectopic pregnancies, and terminations with gestational ages 2
  • Have you had any pregnancy complications before? Such as preterm birth, preeclampsia, or gestational diabetes 2

Medical History and Risk Factors

Chronic Medical Conditions

  • Do you have any chronic medical conditions? Specifically ask about:
    • Diabetes mellitus 2, 3
    • Hypertension 2, 3
    • Thyroid disease 3
    • Autoimmune diseases (lupus, antiphospholipid syndrome) 2, 3
    • Blood clotting disorders 2
    • Heart disease 3
    • Kidney disease 2

Medications and Exposures

  • What medications are you currently taking? Include prescription drugs, over-the-counter medications, supplements, and herbal remedies 3, 5
  • Do you have any drug allergies? 5
  • Have you taken any NSAIDs like ibuprofen recently? NSAIDs can affect pregnancy and should be avoided, especially after 20 weeks gestation 6
  • Are you exposed to any workplace toxins or chemicals? Heavy metals, solvents, pesticides 3

Lifestyle and Social History

  • Do you smoke? Smoking increases miscarriage risk 3, 4
  • Do you drink alcohol? Alcohol consumption is a risk factor for miscarriage 3, 4
  • Do you use any recreational drugs? 3
  • What is your occupation? Assess for night shift work and occupational exposures 4

Psychosocial Assessment

Emotional and Mental Health

  • How are you coping emotionally with this situation? Screen for acute distress 2, 4
  • Do you have a history of depression or anxiety? Miscarriage significantly increases risk of psychological morbidity 4, 7
  • Have you experienced any domestic violence or intimate partner violence? 3
  • Do you have support at home? Identify available social support systems 2, 8
  • What are your concerns or fears right now? Open-ended question allows patient to express primary worries 2, 5

Partner and Family Considerations

  • Is your partner aware of the situation? 8
  • Would you like your partner or family member involved in discussions? Respect patient autonomy while offering support 2
  • Have you told family or friends about the pregnancy? Affects social support and communication needs 8

Understanding and Expectations

Patient Knowledge and Information Needs

  • What do you understand about what is happening? Assess baseline understanding before providing information 2, 9
  • What questions do you have? Open-ended approach to identify specific concerns 2, 5
  • Where have you sought information about miscarriage? Many women search online; understanding their sources helps address misinformation 9
  • What are you most worried about right now? Identifies priorities for counseling 2, 7

Cultural and Spiritual Considerations

  • Are there any cultural or religious beliefs that are important to you regarding this pregnancy loss? 2
  • Would you like to speak with a chaplain or spiritual counselor? 2

Management Planning Questions

Immediate Needs

  • When did you last eat or drink? Important if surgical management is considered 1
  • Do you have reliable transportation home? Safety planning for discharge 2
  • Is there someone who can stay with you for the next 24 hours? Ensures adequate support 2

Follow-up and Future Planning

  • Do you want to try to conceive again in the future? Guides counseling about future pregnancy planning 3, 4
  • Would you like information about what to expect physically over the next few days? Address discharge education needs 7
  • Do you have questions about when you can resume normal activities? 5

Red Flag Symptoms to Assess

Ask specifically about warning signs that require immediate evaluation:

  • Soaking more than 2 pads per hour for 2 consecutive hours 1
  • Severe abdominal pain not relieved by over-the-counter pain medication 1
  • Fever above 100.4°F (38°C) 1
  • Foul-smelling vaginal discharge 1
  • Dizziness, lightheadedness, or fainting 1

Documentation of Tissue Passage

  • If you passed tissue at home, did you save it? Histopathologic examination confirms intrauterine pregnancy and excludes gestational trophoblastic disease 1
  • Can you describe the size and appearance of what you passed? Helps determine completeness of miscarriage 2, 1

References

Guideline

Miscarriage Classification and Management

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Guideline

Prenatal Consultation Guidelines

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Guideline

Effective Communication During Primary Care Appointments

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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