The Sustained Value of an Early Pregnancy Assessment Clinic in the Management of Early Pregnancy Complications: A 10-Year Retrospective Study

Pinnaduwage, Lakmini; Honeyford, Joanne; Lackie, Elyse; Tunde-Byass, Modupe

doi:10.1016/j.jogc.2017.12.002

Cited by 5 publications

(3 citation statements)

References 15 publications

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“…Within the ED, specialised services would include nurse practitioners (NP) or clinical midwifery consultants. [4][5][6] Specialised early pregnancy services have shown to improve patient and health service outcomes, including reduced ED length of stay (EDLOS), representations and cost; however, equitable access is limited. 7 There is limited evidence describing ED presentation trends and outcomes across a health district with varied access to early pregnancy services and differing models of ED care and resource availability.…”

Section: Introductionmentioning

confidence: 99%

“…Evidence supports the implementation of specialised early pregnancy services, including outpatient clinics, for example, Early Pregnancy Assessment Service (EPAS). Within the ED, specialised services would include nurse practitioners (NP) or clinical midwifery consultants 4–6 . Specialised early pregnancy services have shown to improve patient and health service outcomes, including reduced ED length of stay (EDLOS), representations and cost; however, equitable access is limited 7 …”

Section: Introductionmentioning

confidence: 99%

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Presentation trends, characteristics and outcomes for women with early pregnancy bleeding in the emergency department: A 10‐year data linkage study

Trostian

McCloughen

Fethney

et al. 2023

Aust NZ J Obst Gynaeco

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BackgroundWomen present to the emergency department (ED) with pregnancy complications including bleeding. They seek investigations, treatment and clear discharge and referral pathways.AimsThe aim was to identify trends, characteristics, ED care and discharge pathways for women who present to the ED with early pregnancy bleeding.MethodsRetrospective data (from 2011 to 2020) were extracted from a regional health district‘s databank. Data were processed, and deterministic linking was used to produce a final data set. Descriptive statistics were used to identify trends and characteristics. Linear and logistic regression models were used to identify factors that influence health service use, outcomes and discharge pathways.ResultsOver the 10 years, there have been almost 15 000 presentations to the ED for early pregnancy bleeding, from approximately 10 000 women, 0.97% of all ED presentations. The frequency of presentations increased by 19.6% over the study period. The average age of women who presented to the ED was 29.1 years, which increased from 28.5 years (2011) to 29.3 (2020). The median length of stay was less than 4 h, and most women were treated and discharged from the ED. One‐third of presentations received neither ultrasound nor pathology, but health service costs increased by 330% from 2014 to 2020.ConclusionsMaternal age is increasing, as is the frequency of ED presentations for early pregnancy bleeding, and both factors increase demands on the ED. Findings from this study may inform strategies to improve current care models and improve quality and safety practices within the ED.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Presentation trends, characteristics and outcomes for women with early pregnancy bleeding in the emergency department: A 10‐year data linkage study

Trostian

McCloughen

Fethney

et al. 2023

Aust NZ J Obst Gynaeco

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show abstract

“…1 Complications in early pregnancy, such as miscarriage, ectopic pregnancies, and hyperemesis gravidarum, are typical discomforts accounting for nearly quintile of all pregnancies. 2 Early pregnancy complications often prompt many patients to seek emergency evaluation and treatment. 3 Women with early pregnancy complications are always exposed to long times waiting, 4 lacking continuity care and physician responsible.…”

Section: Introductionmentioning

confidence: 99%

Psychologic Sequelae in Early Pregnancy Complications

Jia¹,

Li²,

Liu³

et al. 2023

IJWH

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Early pregnancy complications, including miscarriage, ectopic pregnancies, and hyperemesis gravidarum, are common discomforts accounting for about 15% to 20% of all pregnancies. A proportion of women with early pregnancy complications will experience short-and long-term psychologic sequelae in the aftermath of pregnancy complications, including anxiety, depression, and post-traumatic stress disorder (PTSD) which are the most commonly reported psychologic reactions. This review will focus on the course and impact of these psychologic sequelae in early pregnancy complications, and the noninvasive interventions to improve mental health are also briefly discussed.

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Experiences and outcomes of women with bleeding in early pregnancy presenting to the Emergency Department: An integrative review

Trostian

Curtis

McCloughen

et al. 2022

Australasian Emergency Care

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The Sustained Value of an Early Pregnancy Assessment Clinic in the Management of Early Pregnancy Complications: A 10-Year Retrospective Study

Cited by 5 publications

References 15 publications

Presentation trends, characteristics and outcomes for women with early pregnancy bleeding in the emergency department: A 10‐year data linkage study

Presentation trends, characteristics and outcomes for women with early pregnancy bleeding in the emergency department: A 10‐year data linkage study

Psychologic Sequelae in Early Pregnancy Complications

Experiences and outcomes of women with bleeding in early pregnancy presenting to the Emergency Department: An integrative review

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