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Suspected Miscarriage in the Experience of Emergency Medical Services Teams—Preliminary Study

Vaginal bleeding and abdominal pain are symptoms indicative of a threat to pregnancy that prompt women to seek assistance from health care professionals. The purpose of the study was to present the characteristics of Emergency Medical Services (EMS) team interventions in cases of suspected miscarria...

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Autores principales: Rzońca, Ewa, Bień, Agnieszka, Bączek, Grażyna, Rzońca, Patryk, Filip, Michał, Gałązkowski, Robert
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8657126/
https://www.ncbi.nlm.nih.gov/pubmed/34886025
http://dx.doi.org/10.3390/ijerph182312305
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author Rzońca, Ewa
Bień, Agnieszka
Bączek, Grażyna
Rzońca, Patryk
Filip, Michał
Gałązkowski, Robert
author_facet Rzońca, Ewa
Bień, Agnieszka
Bączek, Grażyna
Rzońca, Patryk
Filip, Michał
Gałązkowski, Robert
author_sort Rzońca, Ewa
collection PubMed
description Vaginal bleeding and abdominal pain are symptoms indicative of a threat to pregnancy that prompt women to seek assistance from health care professionals. The purpose of the study was to present the characteristics of Emergency Medical Services (EMS) team interventions in cases of suspected miscarriage. The study involved a retrospective analysis of EMS team interventions in cases of suspected miscarriage carried out between January 2018 and December 2019 in Poland. Data obtained from Poland’s National Monitoring Center of Emergency Medical Services included emergency medical procedure records and EMS team dispatch records in electronic format. The mean patient age was 30.53 years. Most were primiparous (48.90%) and up to the 13th gestational week (76.65%). The most commonly reported symptom was vaginal bleeding (80.71%). EMS teams were most commonly dispatched in the winter (27.03%), between 7 A.M. and 6:59 P.M. (51.87%), in urban areas (69.23%), with urgency code 2 (55.60%), and in most cases, they transferred the patient to a hospital (97.53%). The present study addresses very important issues concerning the characteristics of Polish suspected miscarriage cases handled by different EMS team types, in different locations (urban vs. rural areas), and concerning patients in a different obstetric situation (gestational week, gravidity, parity). Our findings suggest a need for further studies in this field and for gestational health promotion activities to be implemented, specifically including actions to reduce the risk of vaginal bleeding during pregnancy.
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spelling pubmed-86571262021-12-10 Suspected Miscarriage in the Experience of Emergency Medical Services Teams—Preliminary Study Rzońca, Ewa Bień, Agnieszka Bączek, Grażyna Rzońca, Patryk Filip, Michał Gałązkowski, Robert Int J Environ Res Public Health Article Vaginal bleeding and abdominal pain are symptoms indicative of a threat to pregnancy that prompt women to seek assistance from health care professionals. The purpose of the study was to present the characteristics of Emergency Medical Services (EMS) team interventions in cases of suspected miscarriage. The study involved a retrospective analysis of EMS team interventions in cases of suspected miscarriage carried out between January 2018 and December 2019 in Poland. Data obtained from Poland’s National Monitoring Center of Emergency Medical Services included emergency medical procedure records and EMS team dispatch records in electronic format. The mean patient age was 30.53 years. Most were primiparous (48.90%) and up to the 13th gestational week (76.65%). The most commonly reported symptom was vaginal bleeding (80.71%). EMS teams were most commonly dispatched in the winter (27.03%), between 7 A.M. and 6:59 P.M. (51.87%), in urban areas (69.23%), with urgency code 2 (55.60%), and in most cases, they transferred the patient to a hospital (97.53%). The present study addresses very important issues concerning the characteristics of Polish suspected miscarriage cases handled by different EMS team types, in different locations (urban vs. rural areas), and concerning patients in a different obstetric situation (gestational week, gravidity, parity). Our findings suggest a need for further studies in this field and for gestational health promotion activities to be implemented, specifically including actions to reduce the risk of vaginal bleeding during pregnancy. MDPI 2021-11-23 /pmc/articles/PMC8657126/ /pubmed/34886025 http://dx.doi.org/10.3390/ijerph182312305 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Rzońca, Ewa
Bień, Agnieszka
Bączek, Grażyna
Rzońca, Patryk
Filip, Michał
Gałązkowski, Robert
Suspected Miscarriage in the Experience of Emergency Medical Services Teams—Preliminary Study
title Suspected Miscarriage in the Experience of Emergency Medical Services Teams—Preliminary Study
title_full Suspected Miscarriage in the Experience of Emergency Medical Services Teams—Preliminary Study
title_fullStr Suspected Miscarriage in the Experience of Emergency Medical Services Teams—Preliminary Study
title_full_unstemmed Suspected Miscarriage in the Experience of Emergency Medical Services Teams—Preliminary Study
title_short Suspected Miscarriage in the Experience of Emergency Medical Services Teams—Preliminary Study
title_sort suspected miscarriage in the experience of emergency medical services teams—preliminary study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8657126/
https://www.ncbi.nlm.nih.gov/pubmed/34886025
http://dx.doi.org/10.3390/ijerph182312305
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