Newton J R, Iddenden D A, Newton P
Contraception. 1979 Nov;20(5):429-39. doi: 10.1016/0010-7824(79)90048-9.
This paper describes additional training given to nurse specialists in family planning to cover abortion counselling. The primary counselling was carried out by general practitioners or family planning clinic doctors, following this the patient was referred to hospital for counselling by nurse specialists. Of the first 742 patients seen, 3.2% were not pregnant and a further 25 patients (3.4%) decided against termination, 21 after counselling, and 4 because of advanced gestation. The interval between nurse counselling and termination (TOP) was 3 to 9 days, and of 682 TOPs 566 (83%) were in the first trimester. The additional training for nurse specialists prevented the unnecessary wastage of resources as only 42 (5.1%) required a second visit to confirm blood test results, e.g. rubella titres, and only a further 44 (5.3%) required referral to medical social workers.
本文描述了为计划生育领域的护士专家提供的涵盖堕胎咨询的额外培训。初步咨询由全科医生或计划生育诊所医生进行,之后患者被转介到医院由护士专家进行咨询。在最初接诊的742名患者中,3.2%未怀孕,另有25名患者(3.4%)决定不终止妊娠,其中21名是在咨询后决定的,4名是因为孕周较大。护士咨询与终止妊娠(TOP)之间的间隔为3至9天,在682例终止妊娠中,566例(83%)发生在孕早期。对护士专家的额外培训避免了资源的不必要浪费,因为只有42例(5.1%)需要再次就诊以确认血液检测结果,如风疹抗体滴度,另外只有44例(5.3%)需要转介给医务社会工作者。