Atkin, Catherine, Prinja, Paarul, Banerjee, Anita, Holland, Mark and Lasserson, Daniel (2021) Provision of acute medicine services for pregnant women in UK hospitals : data from the Society for Acute Medicine Benchmarking Audit 2019. Obstetric Medicine, 14 (2). pp. 83-88. doi:10.1177/1753495X20929502 ISSN 1753-495X.
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Abstract
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:
130 hospitals participated. 5.5% had an acute medicine consultant trained in obstetric medicine. 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 patients does not meet national recommendations.
| Item Type: | Journal Article |
|---|---|
| Subjects: | R Medicine > RG Gynecology and obstetrics |
| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Population, Evidence & Technologies (PET) Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
| Library of Congress Subject Headings (LCSH): | Pregnancy, Pregnant women, Pregnant women -- Services for -- Great Britain, Pregnant women -- Health and hygiene -- Great Britain, Postnatal care -- Great Britain |
| Journal or Publication Title: | Obstetric Medicine |
| Publisher: | Sage Publications Ltd. |
| ISSN: | 1753-495X |
| Official Date: | 1 June 2021 |
| Dates: | Date Event 1 June 2021 Published 23 June 2020 Available 19 June 2020 Accepted |
| Volume: | 14 |
| Number: | 2 |
| Page Range: | pp. 83-88 |
| DOI: | 10.1177/1753495X20929502 |
| Status: | Peer Reviewed |
| Publication Status: | Published |
| Re-use Statement: | Atkin, C., Prinja, P., Banerjee, A., Holland, M., & Lasserson, D. (2020). Provision of acute medicine services for pregnant women in UK hospitals: Data from the Society for Acute Medicine Benchmarking Audit 2019. Obstetric Medicine. https://doi.org/10.1177/1753495X20929502. Copyright Copyright © 2020 by SAGE Publication. Reprinted by permission of SAGE Publications. http://dx.doi.org/10.1177/1753495X20929502 |
| Access rights to Published version: | Restricted or Subscription Access |
| Date of first compliant deposit: | 7 August 2020 |
| Date of first compliant Open Access: | 10 August 2020 |
| RIOXX Funder/Project Grant: | Project/Grant ID RIOXX Funder Name Funder ID |
| URI: | https://wrap.warwick.ac.uk/140153/ |
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