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爱尔兰终止妊娠合法化与初级和二级保健服务的发展。

Legalisation of termination of pregnancy in Ireland and the development of a service between primary and secondary care.

机构信息

Our Lady of Lourdes Hospital, Drogheda, Ireland.

出版信息

Sex Reprod Healthc. 2023 Jun;36:100852. doi: 10.1016/j.srhc.2023.100852. Epub 2023 Apr 28.

DOI:10.1016/j.srhc.2023.100852
PMID:37146483
Abstract

BACKGROUND

Expanded termination of pregnancy (TOP) was regulated in Ireland in December 2018 and services began within the Irish healthcare system in January 2019.

METHODS

An audit was performed of all attendances at a newly established TOP clinic, for pregnancies <12 weeks, over a twelve month period.

RESULTS

Sixty-six women were seen in the clinic; 13 underwent medical TOP, 22 underwent surgical TOP, 2 miscarriages, 20 retained products following termination in primary care and 3 were beyond the 12 week limit.

CONCLUSIONS

In an age where TOP clinics are under threat, we have demonstrated the successful successfully introduction safe and effective person centred termination services within primary and secondary care. This requires a focus on women's health with timely care can provided by dedicated nurse specialists and clinicians.

摘要

背景

2018 年 12 月,爱尔兰对扩大终止妊娠(TOP)进行了监管,2019 年 1 月,爱尔兰医疗保健系统开始提供相关服务。

方法

对新设立的 TOP 诊所的所有就诊情况进行了审核,这些就诊均为怀孕<12 周的患者,为期 12 个月。

结果

诊所共接诊 66 名妇女;13 人接受了药物性 TOP,22 人接受了手术性 TOP,2 人流产,20 人在初级保健中终止妊娠后仍有残留产物,3 人超过 12 周限制。

结论

在 TOP 诊所受到威胁的时代,我们已经在初级和二级保健中成功引入了安全有效的以患者为中心的终止妊娠服务。这需要关注妇女健康,由专门的护士专家和临床医生提供及时的护理。

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