Akhter P, Padmanabhan A, Babiker W, Sayed A, Molelekwa V, Geary M
Department of Obstetrics and Gynaecology, The Rotunda Hospital, Parnell Street, Dublin 1, Ireland.
Ir J Med Sci. 2007 Mar;176(1):23-6. doi: 10.1007/s11845-007-0013-2.
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.
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.
A retrospective audit between July and December 2002 was performed.
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.
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.
怀孕早期出现出血情况的女性会承受相当大的焦虑。长时间等待诊断会加重她们的不满。早期妊娠评估单元（EPAU）是一项专门服务，能提供快速便捷的诊断、治疗及支持服务。
监测罗通达医院EPAU服务的前6个月情况，找出其不足之处，以便我们未来能确保有效的EPAU护理。
对2002年7月至12月进行了回顾性审计。
大多数患者（83.4%）是自行转诊。所有患者在1至3小时内得到诊治。在流产组中，278例中有218例（78.4%）通过清宫手术治疗，另有60例（21.6%）接受了保守或药物治疗。在13例异位妊娠中，13例中有5例（39%）接受了腹腔镜治疗。
该诊所使我们能够在令人满意的时间段内有效处理早期妊娠出血情况。流产的高手术干预率凸显了更加强调药物和期待治疗的必要性。
