Rhone Stephanie A, Hodgson Zoë G, Moshrefzadeh Arezu, Maurer Catherine
Department of Obstetrics and Gynaecology, University of British Columbia, Vancouver BC.
Women's Health Research Institute, Vancouver BC.
J Obstet Gynaecol Can. 2012 Mar;34(3):243-249. doi: 10.1016/S1701-2163(16)35184-2.
To review the services provided by an early pregnancy assessment clinic (EPAC) in Vancouver, British Columbia, and to assess the characteristics of the women accessing their services and their satisfaction with the care provided.
The EPAC at BC Women's Hospital and Health Centre was opened in September 2007 to offer assessment of early pregnancy complications and management of early pregnancy loss. We conducted a review of the records of all patients who accessed the clinic in its first year of operation to review the origin of referrals, patient assessments, diagnoses, treatment, complications, and follow-up. Additionally, we distributed satisfaction surveys to patients.
A total of 411 patients were referred to the EPAC in its first year of operation. Most referrals were from family physicians (38%), and the primary reason for referral was most commonly cramping and/or spotting (57%). The mean wait time for patients to be seen was 2.02 working days, and the majority of women (91%) were given a diagnosis at their first clinic visit. After assessment, 48% of women had manual vacuum aspiration or dilatation and curettage arranged, 21% had expectant management, and 17% required no treatment, because of complete miscarriage. While 94% of patients with non-viable pregnancies were treated at EPAC, 6% were referred to other health care agencies. In the satisfaction surveys completed, comments about the EPAC were largely positive and primarily focused on the emotional support and level of care received.
In its first year of operation, the EPAC was well used and provided efficient and compassionate care. Patients reported high satisfaction with the quality of care received from staff, and showed particular appreciation for the emotional care received.
回顾不列颠哥伦比亚省温哥华一家早期妊娠评估诊所（EPAC）提供的服务，并评估使用其服务的女性的特征以及她们对所提供护理的满意度。
卑诗省妇女医院及健康中心的早期妊娠评估诊所在2007年9月开业，提供早期妊娠并发症评估和早期妊娠丢失管理服务。我们对该诊所在运营第一年接待的所有患者记录进行了回顾，以审查转诊来源、患者评估、诊断、治疗、并发症及随访情况。此外，我们还向患者发放了满意度调查问卷。
该诊所在运营第一年共接待了411名患者。大多数转诊来自家庭医生（38%），转诊的主要原因最常见的是腹痛和/或点滴出血（57%）。患者的平均候诊时间为2.02个工作日，大多数女性（91%）在首次就诊时就得到了诊断。评估后，48%的女性安排了人工负压吸引术或刮宫术，21%进行了期待治疗，17%因完全流产无需治疗。虽然94%的不可行妊娠患者在早期妊娠评估诊所接受了治疗，但6%被转诊至其他医疗机构。在完成的满意度调查中，对早期妊娠评估诊所的评价大多是积极的，主要集中在获得的情感支持和护理水平上。
在运营的第一年，早期妊娠评估诊所得到了充分利用，提供了高效且充满关怀的护理。患者对工作人员提供的护理质量满意度很高，尤其对所获得的情感护理表示赞赏。
