Evidence-based outpatient miscarriage management

Onsite training: outpatient miscarriage management

Onsite training offers evidence-based outpatient miscarriage management, and can help your facility offer evidence-based outpatient miscarriage management. Early pregnancy loss is common, occurring in approximately 15-20% of known pregnancies. It's often managed in the operating room despite evidence showing treatment in outpatient or emergency department settings can save time, cost, is equally safe, and is preferred by many patients.

The Department of Health funds the University of Washington to do 2-3 site-specific trainings each year on integrating outpatient miscarriage management. Several critical access hospital systems have previously participated and we would love to have more rural health clinics, rural hospitals and federally qualified health centers take part.

TEAMM (Training, Education and Advocacy in Miscarriage Management) trains healthcare teams to integrate all three forms of early pregnancy loss management – expectant, medication, and manual uterine aspiration – into their office-based and emergency medicine settings. The goal is to bridge the gap between the needs of patients to access high quality early pregnancy loss care and the technical training and practice integration assistance required for healthcare teams to offer this service.

UW brings their team to sites to give a training aimed at helping interdisciplinary and interprofessional clinical staff integrate comprehensive miscarriage management services into their outpatient clinic setting(s). The project started in the UW Family Medicine Residency Network more than 10 years ago and has expanded to other sorts of clinical settings, including OB/GYN clinics, other primary care clinics, and emergency departments.

You can view the TEAMM website for more information. If you’d like to explore more with UW you can reach the project staff here: teamm@uw.edu.