27 October 2015:

New RCN guidance on the disposal of pregnancy remains

The Royal College of Nursing (RCN) has today launched updated guidance on how nurses and midwives can effectively manage the disposal of pregnancy remains.

The updated guidance aims to help nurses and midwives ensure they have the right systems and processes in place to safely dispose of pregnancy remains according to the personal wishes of the woman and, where appropriate, her partner.

There is no doubt that this can be a difficult topic to discuss with patients. You’ll find our thoughts and suggestions about how best to manage this here.


September 15 2015:

New guidance re miscarriage diagnosis

The diagnosis of miscarriage can be deeply distressing, especially if it also comes as a complete shock.  What it must also be, however, is absolutely accurate, and that can mean having to wait a week or more for a further scan – something many women find very hard to bear.

New research published in the British Medical Journal confirms that scans may well need to be repeated at longer intervals than currently done in order to be absolutely certain of the diagnosis of miscarriage.  The embedded brief video interview with Professor Tom Bourne explains the research and its implications.

While implementation of these findings may well increase anxiety and distress for those waiting for a repeat scan, it is better by far than making a mistake and actively ending a pregnancy which might otherwise survive.  The BMJ’s editorial comment, below, reflects on that difficult balance.

[Click on the image to enlarge it.]

Scan of BMJ editorial comment

You may also like to read the Guardian report on this research – if only for the public comments section, ranging from appreciative to suspicious, and from distressing personal posts to the simply unsympathetic…