Introduction of an early pregnancy assessment unit: audit on the first 6 months of service

Ir J Med Sci. 2007 Mar;176(1):23-6. doi: 10.1007/s11845-007-0013-2.

Abstract

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.

MeSH terms

  • Abortion, Spontaneous / diagnosis
  • Abortion, Spontaneous / 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