Role of routine ultrasound scan in pre-termination of pregnancy assessment in community setting.
The aim of this study was to determine the role of routine scanning before termination of pregnancy in a community setting and attempt to estimate the cost benefit of primary care-based management. Accurate dating of pregnancy is an important step in assessing a patient for medical termination and minimising complications. In the study period of 3 months from 1 October to 31 December 2006, 526 scans were undertaken. Scans had to be repeated in 44 cases (8%) because of suspected early gestation or non-viable pregnancy. Of the patients scanned, 120 (22.8%) were < 7 weeks' gestation and could be offered medical or surgical management. The study demonstrates significant cost benefits from community-based scanning to aid management of miscarriage. Over the study period, the total savings to contraception and sexual health service and primary care trust was pound 20,947. Community-based scan services and management of miscarriage is an attempt to strike a balance between supporting provision of services closer to home and continuing safe and effective healthcare.
Sexual and Reproductive Health, Victoria Health Services, Nottingham, UK. Manisha@tesco.net
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Singh
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Porter
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Johnson
D000028:Abortion, Induced / Q000191:economics*; D003362:Cost-Benefit Analysis; D003955:Diagnostic Tests, Routine; D005260:Female; D005865:Gestational Age; D006801:Humans; D011247:Pregnancy; D011300:Preoperative Care; D012189:Retrospective Studies; D016216:Ultrasonography, Prenatal