Document Detail

Preoperative pregnancy testing in a tertiary care children's hospital: a medico-legal conundrum.
MedLine Citation:
PMID:  10396720     Owner:  NLM     Status:  MEDLINE    
STUDY OBJECTIVES: To track physician and nursing practice regarding preoperative pregnancy screening and testing in a setting where testing is the established policy. DESIGN: Prospective study. SETTING: University-affiliated, urban, tertiary care pediatric hospital. PATIENTS: 261 menarcheal patients, aged 10 to 34 years, presenting for ambulatory surgery in a 15-month period. INTERVENTIONS: None. MEASUREMENTS AND MAIN RESULTS: Of 235 routine pregnancy tests performed, three were positive (1.3%). All patients denied the possibility of pregnancy; all reported last menstrual period less than 3 weeks prior to their scheduled surgery. Two of the three patients whose pregnancy tests were positive were adults. Only two study patients were unsure about the possibility of pregnancy; both patients tested negative. No patient younger than 15 years tested positive (0 of 107). History was an unreliable marker for pregnancy. CONCLUSIONS: Medical history alone may be an unreliable marker for ruling out pregnancy in patients presenting for outpatient surgery in an urban pediatric hospital. The policy for preoperative pregnancy screening adopted by a hospital or health care facility should be predicated on the principle of "best interest of the patient." Considerations must include local law, ethical responsibility, and the balance between cost and risk based on the best and most current scientific information.
M Wheeler; C J Coté
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of clinical anesthesia     Volume:  11     ISSN:  0952-8180     ISO Abbreviation:  J Clin Anesth     Publication Date:  1999 Feb 
Date Detail:
Created Date:  1999-09-14     Completed Date:  1999-09-14     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8812166     Medline TA:  J Clin Anesth     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  56-63     Citation Subset:  IM    
Department of Pediatric Anesthesiology, Children's Memorial Hospital, Chicago, IL 60614, USA.
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MeSH Terms
Ambulatory Care / legislation & jurisprudence,  methods*
Hospitals, Pediatric
Physician's Practice Patterns*
Pregnancy Tests*
Preoperative Care / methods*

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

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