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Provision of acute medicine services for pregnant women in UK hospitals: Data from the Society for Acute Medicine Benchmarking Audit 2019
BACKGROUND: Medical problems during pregnancy are the leading cause of maternal mortality in the UK. Pregnant women often present through acute services to the medical team, requiring timely access to appropriate services, physicians trained to manage medical problems in pregnancy, with locally agre...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8358240/ https://www.ncbi.nlm.nih.gov/pubmed/34394716 http://dx.doi.org/10.1177/1753495X20929502 |
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author | Atkin, Catherine Prinja, Paarul Banerjee, Anita Holland, Mark Lasserson, Dan |
author_facet | Atkin, Catherine Prinja, Paarul Banerjee, Anita Holland, Mark Lasserson, Dan |
author_sort | Atkin, Catherine |
collection | PubMed |
description | BACKGROUND: Medical problems during pregnancy are the leading cause of maternal mortality in the UK. Pregnant women often present through acute services to the medical team, requiring timely access to appropriate services, physicians trained to manage medical problems in pregnancy, with locally agreed guidance available. METHODS: Data were collected through the Society for Acute Medicine Benchmarking Audit, a national audit of service delivery and patient care in acute medicine over a 24 hour period. RESULTS: One hundred and thirty hospitals participated: 5.5% had an acute medicine consultant trained in obstetric medicine, and 38% of hospitals had a named lead for maternal medicine. This was not related to hospital size (p = 0.313). Sixty-four units had local guidelines for medical problems in pregnancy; 43% had a local guideline for venous thromboembolism in pregnancy. Centres with a named lead had more guidelines (p = 0.019). CONCLUSION: Current provision of services within acute medicine for pregnant women does not meet national recommendations. |
format | Online Article Text |
id | pubmed-8358240 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-83582402021-08-13 Provision of acute medicine services for pregnant women in UK hospitals: Data from the Society for Acute Medicine Benchmarking Audit 2019 Atkin, Catherine Prinja, Paarul Banerjee, Anita Holland, Mark Lasserson, Dan Obstet Med Original Articles BACKGROUND: Medical problems during pregnancy are the leading cause of maternal mortality in the UK. Pregnant women often present through acute services to the medical team, requiring timely access to appropriate services, physicians trained to manage medical problems in pregnancy, with locally agreed guidance available. METHODS: Data were collected through the Society for Acute Medicine Benchmarking Audit, a national audit of service delivery and patient care in acute medicine over a 24 hour period. RESULTS: One hundred and thirty hospitals participated: 5.5% had an acute medicine consultant trained in obstetric medicine, and 38% of hospitals had a named lead for maternal medicine. This was not related to hospital size (p = 0.313). Sixty-four units had local guidelines for medical problems in pregnancy; 43% had a local guideline for venous thromboembolism in pregnancy. Centres with a named lead had more guidelines (p = 0.019). CONCLUSION: Current provision of services within acute medicine for pregnant women does not meet national recommendations. SAGE Publications 2020-06-23 2021-06 /pmc/articles/PMC8358240/ /pubmed/34394716 http://dx.doi.org/10.1177/1753495X20929502 Text en © The Author(s) 2020 https://creativecommons.org/licenses/by/4.0/This article is distributed under the terms of the Creative Commons Attribution 4.0 License (https://creativecommons.org/licenses/by/4.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Original Articles Atkin, Catherine Prinja, Paarul Banerjee, Anita Holland, Mark Lasserson, Dan Provision of acute medicine services for pregnant women in UK hospitals: Data from the Society for Acute Medicine Benchmarking Audit 2019 |
title | Provision of acute medicine services for pregnant women in UK hospitals: Data from the Society for Acute Medicine Benchmarking Audit 2019 |
title_full | Provision of acute medicine services for pregnant women in UK hospitals: Data from the Society for Acute Medicine Benchmarking Audit 2019 |
title_fullStr | Provision of acute medicine services for pregnant women in UK hospitals: Data from the Society for Acute Medicine Benchmarking Audit 2019 |
title_full_unstemmed | Provision of acute medicine services for pregnant women in UK hospitals: Data from the Society for Acute Medicine Benchmarking Audit 2019 |
title_short | Provision of acute medicine services for pregnant women in UK hospitals: Data from the Society for Acute Medicine Benchmarking Audit 2019 |
title_sort | provision of acute medicine services for pregnant women in uk hospitals: data from the society for acute medicine benchmarking audit 2019 |
topic | Original Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8358240/ https://www.ncbi.nlm.nih.gov/pubmed/34394716 http://dx.doi.org/10.1177/1753495X20929502 |
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