Document Detail

Introduction of an early pregnancy assessment unit: audit on the first 6 months of service.
MedLine Citation:
PMID:  17849519     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Women experiencing bleeding in early pregnancy suffer considerable anxiety. Waiting for a considerable time for a diagnosis adds to their grievance. Early Pregnancy Assessment Unit (EPAU) is a dedicated service that provides quick and easy accessibility to diagnosis, treatment and support service. AIM: To monitor the first 6 months of the EPAU service in the Rotunda Hospital, to identify its shortcomings, so that we can ensure effective EPAU care in future. METHODS: A retrospective audit between July and December 2002 was performed. RESULTS: A majority of patients (83.4%) were self-referrals. All patients were seen between 1 and 3 h. In the miscarriage group, 218/278 (78.4%) was managed surgically by evacuation and a further 60/278 (21.6%) received conservative or medical treatment. Among 13 ectopic pregnancies, 5/13 (39%) had laparoscopic management. CONCLUSION: This clinic has enabled us to manage early pregnancy bleeding in an effective manner within a satisfactory time period. The high surgical intervention rate for miscarriages is highlighted to support the need for greater emphasis on medical and expectant management.
P Akhter; A Padmanabhan; W Babiker; A Sayed; V Molelekwa; M Geary
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Irish journal of medical science     Volume:  176     ISSN:  0021-1265     ISO Abbreviation:  Ir J Med Sci     Publication Date:  2007 Mar 
Date Detail:
Created Date:  2007-09-12     Completed Date:  2007-10-16     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7806864     Medline TA:  Ir J Med Sci     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  23-6     Citation Subset:  IM    
Department of Obstetrics and Gynaecology, The Rotunda Hospital, Parnell Street, Dublin 1, Ireland.
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MeSH Terms
Abortion, Spontaneous / diagnosis,  surgery*
Laparoscopy / methods
Medical Audit
Middle Aged
Pregnancy Outcome*
Pregnancy Trimester, First
Pregnancy Trimester, Second
Pregnancy, Ectopic / diagnosis*
Retrospective Studies
Time Factors
Women's Health

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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