Objective: Describe the “patient experience” regarding care provided during the surgical management of a loss of pregnancy in the first trimester and identify the factors influencing this experience. Design: Analytical observational prospective study. Setting: Two main, academic, maternity wards in Lyon, France, carrying out 8,500 deliveries per year. Population: Adult female patients, speaking French, having undergone a curettage for a loss of pregnancy in the first trimester from 24 December 2020 to 13 June 2021. Methods: The “patient experience” was assessed using the 15 questions of the Picker Patient Experience (PPE-15) questionnaire, and research was conducted on factors influencing the patient experience. Main outcome measures: Percentage of patients reporting a problem in response to at least one of the PPE-15 questions. Results: 58 out of 79 patients (73% CI [62-83]) reported at least one problem with their care. The largest proportion of problems was raised in question about “Opportunity for family/loved ones to talk to the doctor” (76% CI [61-87]). The lowest proportion of problems was raised in question about “Treated with respect and dignity” (8% CI [3-16]). No factors influencing the patient experience were identified. Conclusions: The main areas of improvement reported by patients identified were the participation of their family/relatives and the emotional support provided by the healthcare workers team. Funding: None. Keywords: Patient experience, loss of pregnancy, Picker Patient Experience, suction curettage. Tweetable abstract: Better communication with patient families and emotional support could improve patient experience during the surgical management of a loss of pregnancy

Objective: To compare the mental well-being of French women who were and were not pregnant during the first COVID-19 pandemic lockdown. Design: Survey. Setting: France. Population: Women between 18 and 45 years of age during the second and third weeks of global lockdown (March 25–April 07, 2020) during the COVID-19 pandemic. Methods: Nationwide online quantitative survey. Main Outcome Measures: Mental well-being measured by the Warwick-Edinburgh Mental Well-Being Scale (WEMWBS). Results: This study analysed 275 responses from pregnant women and compared them with those from a propensity score–matched sample of 825 non-pregnant women. The median WEMWBS score was 49.0 and did not differ by pregnancy status. Women living in urban areas reported better well-being, while those with sleep disorders or who spent more than an hour a day watching the news reported poorer well-being. Conclusion: During the first lockdown in France, women had relatively low mental well-being scores, with no significant difference between pregnant and non-pregnant women. More than ever, health-care workers need to find a way to maintain their support for women’s well-being. Minor daily annoyances of pregnancy, such as insomnia, should not be trivialised because they are a potential sign of poor well-being.