| Introduction of an early pregnancy assessment unit: audit on the first 6 months of service. | |
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MedLine Citation:
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PMID: 17849519 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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P Akhter; A Padmanabhan; W Babiker; A Sayed; V Molelekwa; M Geary |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Irish journal of medical science Volume: 176 ISSN: 0021-1265 ISO Abbreviation: Ir J Med Sci Publication Date: 2007 Mar |
Date Detail:
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Created Date: 2007-09-12 Completed Date: 2007-10-16 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7806864 Medline TA: Ir J Med Sci Country: Ireland |
Other Details:
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Languages: eng Pagination: 23-6 Citation Subset: IM |
Affiliation:
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Department of Obstetrics and Gynaecology, The Rotunda Hospital, Parnell Street, Dublin 1, Ireland. binduakhter@hotmail.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Abortion, Spontaneous
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diagnosis,
surgery* Adolescent Adult Female Humans Laparoscopy / methods Medical Audit Middle Aged Pregnancy 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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