Document Detail

A dedicated ectopic pregnancy team leads to an improvement in patients' management.
MedLine Citation:
PMID:  17514374     Owner:  NLM     Status:  MEDLINE    
INTRODUCTION: The aim of the study is to determine whether a dedicated ectopic pregnancy team improves the management of haemodynamically stable patients with suspected ectopic pregnancy who do not require immediate life-saving surgery. METHODS: A non-randomized population based study involving 210 patients admitted with a suspected ectopic pregnancy over a 2-year period in a university teaching hospital in the UK, was carried out to compare the management of those women before and after the introduction of the ectopic pregnancy team. RESULTS: Following the introduction of an ectopic pregnancy team, there were fewer laparotomies performed, fewer negative diagnostic laparoscopies, a reduced overall surgical intervention rate, and a reduced duration of hospital stay. Although, it was difficult to quantify the extent of improvement of training, yet there were fewer operations performed out-of-hours, more continuity of care, more learning opportunities and acquisition of laparoscopic skills of junior staff. CONCLUSIONS: The introduction of an ectopic pregnancy team led to an improvement in the management of patients with suspected ectopic pregnancies. Efforts aiming at setting up such a specialized team and its implementation in day-to-day clinical practice should be considered in hospitals where the mainstay of treatment remains laparotomy.
Stuart Lavery; Salem A El-Shawarby; Brianna Cloke; Raul Margara; Geoffrey Trew
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Publication Detail:
Type:  Comparative Study; Journal Article     Date:  2006-11-25
Journal Detail:
Title:  Archives of gynecology and obstetrics     Volume:  275     ISSN:  0932-0067     ISO Abbreviation:  Arch. Gynecol. Obstet.     Publication Date:  2007 Jun 
Date Detail:
Created Date:  2007-05-21     Completed Date:  2007-10-04     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8710213     Medline TA:  Arch Gynecol Obstet     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  475-9     Citation Subset:  IM    
Department of Reproductive Medicine and Surgery, Hammersmith Hospital, Imperial College School of Medicine, Du Cane Road, London W12 OHS, UK.
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MeSH Terms
Delivery of Health Care*
Patient Care Team
Pregnancy, Ectopic / diagnosis*,  therapy
Prospective Studies
Retrospective Studies
Urban Population

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