BACKGROUND:
A miscarriage can be a distressing, isolating, and lonely experience for individuals and their loved ones. At the same time, the way a diagnosis, counselling, and care are managed can influence a woman’s experience. However, there are limited studies that explore women’s experiences with the services and practices provided.

OBJECTIVES:
The aim of this integrative review was to identify women's experiences when attending an early pregnancy assessment service for their miscarriage.

METHODS:
An integrative literature review was undertaken using six major databases. Studies published in English between 2015 and 2025 were searched. The qualitative data were thematically analysed using Braun and Clarke’s thematic analysis.

RESULTS:
We looked at 2,047 papers and eighteen studies identified themes of Access and Availability, Communication, Psychological Impact, and Social Implications. Women expressed the need for prompt diagnosis with a clear plan, timely appointments and private spaces during their loss away from pregnant women and the sound of baby heartbeats. They sought acknowledgment of their grief and a supportive environment from midwives and family.

CONCLUSIONS:
Women who experience miscarriages go through both physical and emotional stress. To support these women, there is a need for prompt diagnosis and a clear plan, delivered in an appropriate setting away from other pregnant women. Additionally, staff education is required to enhance awareness of the psychological impact of miscarriage, ensuring women’s feelings are acknowledged in a safe and supportive environment. Finally, a clear referral and follow-up process is necessary to ensure continuity of care.

KEY MESSAGE:
Health systems and policies for women who have experienced miscarriage must ensure quick access to services in a private setting, away from other pregnant women. Consultations should take place in a safe space where women’s feelings are acknowledged, and their emotions explored. A clear follow-up pathway should be in place, involving family members as appropriate, to provide necessary support. Poster session 4 (Group B)