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Int J Gynaecol Obstet ; 143(3): 289-299, 2018 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-30182449

RESUMEN

OBJECTIVE: To investigate perceptions of early pregnancy assessment units (EPAUs) among perinatal practitioners working in Belgium, France, and Switzerland. METHODS: A prospective multinational survey was conducted between September 1, 2015, and May 21, 2016. Obstetricians, gynecologists, medical doctors, radiologists, and midwives were recruited during meetings, via e-mail invitations, or through the websites of regional obstetrics and gynecology scientific societies. The survey comprised 17 questions that assessed the participants' knowledge, interest, and management of early pregnancy. RESULTS: Of the 871 individuals invited to participate in the survey, 306 (35.1%) responded. Most of the participants were gynecologists and/or obstetricians (225 [73.5%]). A total of 258 (84.3%) participants had no or limited knowledge about EPAUs. Furthermore, 211 (69.0%) participants reported incorrect management when they visualized a gestational sac without embryo and 265 (86.6%) misinterpreted changes in serum levels of chorionic gonadotropin during early pregnancy. In all, 201 (65.7%) participants were interested in collaboration with an EPAU; however, only 125 (40.8%) had sufficient time and resources available to support a patient's psychological distress after early pregnancy loss or salpingectomy. CONCLUSION: Knowledge about early management of pregnancy was limited among the perinatal practitioners surveyed; however, the concept of EPAUs was welcomed by many.


Asunto(s)
Conocimientos, Actitudes y Práctica en Salud , Servicios de Salud Materna , Adulto , Gonadotropina Coriónica/sangre , Europa (Continente) , Femenino , Feto/diagnóstico por imagen , Saco Gestacional/diagnóstico por imagen , Ginecología , Encuestas de Atención de la Salud , Humanos , Masculino , Servicios de Salud Materna/organización & administración , Persona de Mediana Edad , Partería , Obstetricia , Percepción , Embarazo , Primer Trimestre del Embarazo/sangre , Atención Prenatal , Estudios Prospectivos , Radiología , Ultrasonografía Prenatal
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