Iyoke C A, Ugwu O G, Ezugwu F O, Onah H E, Agbata A T, Ajah L C
Department of Obstetrics and Gynaecology, University of Nigeria Teaching Hospital, Enugu, Nigeria.
Niger J Clin Pract. 2014 Jul-Aug;17(4):419-24. doi: 10.4103/1119-3077.134003.
It has been suggested that women with early miscarriage or ectopic pregnancy are best cared for in dedicated units which offer rapid and definitive ultrasonographic and biochemical assessment at the initial review of the patient.
To describe the current protocols for the assessment and treatment of women with early miscarriage or ectopic pregnancy as reported by Nigerian Gynecologists, and determine if dedicated early pregnancy services such as Early Pregnancy Assessment Units could be introduced to improve care.
A cross-sectional survey of Nigerian Gynecologists attending the 46 th Annual Scientific Conference of the Society of Gynaecology and Obstetrics of Nigeria.
This was a questionnaire-based study.
Data analysis was by descriptive statistics using Statistical Package for the Social Sciences software, version 17.0 for Windows (IBM Corporation, Armonk, NY, USA).
A total of 232 gynecologists working in 52 different secondary and tertiary health facilities participated in the survey. The mean age of the respondents was 42.6 ± 9.1 years (range 28-70 years). The proportion of gynecologists reporting that women with early miscarriage or ectopic pregnancy were first managed within the hospital general emergency room was 92%. The mean reported interval between arrival in hospital and first ultrasound scan was 4.9 ± 1.4 hours (range ½-8 hours). Transvaginal scan was stated as the routine initial imaging investigation by only 17.2% of respondents. Approximately 94.8% of respondents felt that dedicated early pregnancy services were feasible and should be introduced to improve the care of women with early miscarriage and ectopic pregnancy.
Reported protocols for managing early miscarriage or ectopic pregnancy in many health facilities in Nigeria appear to engender unnecessary delays and avoidable costs, and dedicated early pregnancy services could be both useful and feasible in addressing these shortcomings in the way women with such conditions are currently managed.
有人认为，早期流产或异位妊娠的女性最好在专门的科室接受治疗，这些科室在对患者进行初次检查时能提供快速且明确的超声和生化评估。
描述尼日利亚妇科医生报告的早期流产或异位妊娠女性的当前评估和治疗方案，并确定是否可以引入诸如早期妊娠评估单元等专门的早期妊娠服务来改善护理。
对参加尼日利亚妇产科学会第46届年度科学会议的尼日利亚妇科医生进行横断面调查。
这是一项基于问卷的研究。
使用适用于Windows的社会科学统计软件包17.0（美国纽约州阿蒙克市IBM公司）进行描述性统计分析。
共有来自52个不同二级和三级卫生设施的232名妇科医生参与了调查。受访者的平均年龄为42.6±9.1岁（范围28 - 70岁）。报告称早期流产或异位妊娠女性首先在医院普通急诊室接受治疗的妇科医生比例为92%。报告的入院到首次超声检查的平均间隔时间为4.9±1.4小时（范围半小时至8小时）。只有17.2%的受访者表示经阴道扫描是常规的初始影像学检查。约94.8%的受访者认为专门的早期妊娠服务是可行的，应该引入以改善早期流产和异位妊娠女性的护理。
尼日利亚许多卫生设施中报告的早期流产或异位妊娠管理方案似乎会导致不必要的延误和可避免的费用，而专门的早期妊娠服务在解决当前此类疾病女性管理方式中的这些不足方面可能既有用又可行。
