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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
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Atkin, Catherine, Prinja, Paarul, Banerjee, Anita, Holland, Mark and Lasserson, Daniel (2020) Provision of acute medicine services for pregnant women in UK hospitals : data from the Society for Acute Medicine Benchmarking Audit 2019. Obstetric Medicine . doi:10.1177/1753495X20929502 (In Press)
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Official URL: http://dx.doi.org/10.1177/1753495X20929502
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 | ||||||
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| Subjects: | R Medicine > RG Gynecology and obstetrics | ||||||
| Divisions: | Faculty of Medicine > Warwick Medical School > Health Sciences Faculty of Medicine > Warwick Medical School > Health Sciences > Population, Evidence & Technologies (PET) Faculty of Medicine > Warwick Medical School |
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| 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: | 23 June 2020 | ||||||
| Dates: |
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| Date of first compliant deposit: | 7 August 2020 | ||||||
| DOI: | 10.1177/1753495X20929502 | ||||||
| Status: | Peer Reviewed | ||||||
| Publication Status: | In Press | ||||||
| Publisher 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 | ||||||
| RIOXX Funder/Project Grant: |
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