Management of women referred to early pregnancy assessment unit: care and cost effectiveness
Open accessAbstract
OBJECTIVE: To assess the efficiency of an early pregnancy assessment unit in the care of women with bleeding or pain in early pregnancy. DESIGN: Analysis of women attending in the first year of the unit's operation and in the six months immediately before its introduction. SETTING: Early pregnancy assessment unit in a district general hospital serving a population of 310,000. PATIENTS: 1141 women referred with bleeding or pain in early pregnancy. MAIN OUTCOME MEASURES: Length of stay in hospital required for diagnosis and treatment. RESULTS: Before the unit was established the mean admission time was one and a half (range half to three) days for women who required no treatment and three (one and a half to five) days in women requiring evacuation of uterus. These times were reduced to two hours as an outpatient and one day respectively for most women after the unit was established. Between 318 and 505 women were estimated to have been saved from unnecessary admission, and 233 had their stay reduced; the associated saving was between pounds 95,000 and pounds 120,000 in one year. CONCLUSIONS: The early pregnancy assessment unit improved the quality of care and also produced considerable savings in financial and staff resources.
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Uterine anomalies, in particular canalization defects such as uterine septae, have been associated with both spontaneous and recurrent miscarriage.
“Uterine anomalies, in particular canalization defects such as uterine septae, have been associated with both spontaneous and recurrent miscarriage. 84”
From Miscarriage matters: the epidemiological, physical, psychological, and economic costs of early pregnancy loss (2021) · cites this paper as [84]
The Introduction discusses how often miscarriage occurs, and the Results concern assessment and hospital stays for women with early-pregnancy symptoms. Neither section addresses uterine anomalies, canalization defects, or their association with spontaneous or recurrent miscarriage; searches for uterine septae and congenital uterine malformations found no relevant passage in our copy. (LLM, conf=0.76)
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- Authors
- Bigrigg, M. A., & Read, M. D.
- Venue
- BMJ
- Publisher
- BMJ
- Published
- 1991-03-09
- Volume
- 302
- Issue
- 6776
- Pages
- 577-579
- ISSN
- 0007-1447 (ISSN-L)
- 0959-8138
- 1468-5833
- OpenAlex
- W2035889576
- Cited by
- 156
- References
- 6
- Citations by year
- 2026: 3 · 2025: 4 · 2024: 5 · 2023: 6 · 2022: 6 · 2021: 7 · 2020: 8 · 2019: 4 · 2018: 3 · 2017: 8 · 2016: 4 · 2015: 5 · 2014: 9 · 2013: 4 · 2012: 5
- FWCI
- 15.59
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- BMJ (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Emergency Medicine › Emergency and Acute Care Studies
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Reproductive Health and Contraception
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Ectopic Pregnancy Diagnosis and Management
- Keywords
- miscarriage, length of hospital stay, outpatient care, cost reduction, unnecessary hospitalization, uterine evacuation, quality of care
- MeSH terms
- Cost-Benefit Analysis, Efficiency, England, Female, Hospital Units, Humans, Pregnancy, Pregnancy Complications, Prenatal Care, Prognosis, Quality of Health Care, Referral and Consultation, Time Factors
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