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Decreased need for emergency services after changing management for suspected miscarriage.

Abstract：

:We investigated the effect of a changed routine to identify women with a nonviable pregnancy, in order to utilize health care resources more efficiently during office hours rather than relying on emergency care services. From hospital register data about where and when women with miscarriages were treated, there was a significant trend during a nine-year period for miscarriages to be more rarely diagnosed (p-value<0.001) in the emergency ward after office hours. The proportion of miscarriages that were diagnosed and handled at the emergency ward decreased from 31% in 2001 to 17% in 2009. Furthermore, the number of women showing up with bleeding at the emergency ward, but who also had a normal viable pregnancy, declined during the same period (p-value<0.01). Women with suspected miscarriage benefit from structured information and standardized management and can effectively be scheduled for day-time assessment including ultrasound with a concomitant reduced need for emergency services.

journal_name

Acta Obstet Gynecol Scand

journal_title

Acta obstetricia et gynecologica Scandinavica

authors

Adolfsson A,Tullander-Tjörnstrand K,Larsson PG

doi

10.1111/j.1600-0412.2011.01144.x

subject

Has Abstract

pub_date

2011-08-01 00:00:00

pages

921-3

issue

8

eissn

0001-6349

issn

1600-0412

journal_volume

90

pub_type

杂志文章

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