Workplace supports for early pregnancy loss: A scoping review of international literature.

Abstract

Background: Despite the prevalence and impacts of pregnancy loss, there is a lack of statutory or workplace-based supports for workers experiencing pregnancy loss, especially before the point of viability. As reproductive and working ages overlap, workplaces can play a significant role in pregnancy loss experiences.

Objective: The aim of this study is to map the available literature on workplace supports for pregnancy loss before viability.

Methods: We conducted a scoping review following JBI Guidance and a pre-registered protocol. We searched eight academic databases/platforms, grey literature sources, and reference lists for eligible documents (2012-2022).

Results: Following title and abstract screening and full-text review, 48 records were included for analysis: 18 reports, 15 journal articles, 6 guides/codes of practice, 3 theses, 2 book/book chapters, and 4 other narrative records. Secondary research was the most common methodology employed (n = 16) followed by primary research (n = 14). Reports mainly originated from South-East Asia, while all empirical studies took place in high-income, English-speaking countries. Leave from work was the most discussed/important form of workplace support. Helpful organisational measures were also identified.

Conclusions: Our review found a lack of empirical research on workplace supports and experiences of pregnancy loss. Further research is needed to understand experiences and develop and implement appropriate supports.