| Titre : | A Review of the Management of Loss of Pregnancy in the Emergency Department (2018) |
| Auteurs : | Brittany E. Punches ; Kimberly D. Johnson ; Gordon L. Gillepsie ; et al. |
| Type de document : | Article |
| Dans : | Journal of Emergency Nursing (Vol. 44, n°2, March 2018) |
| Article en page(s) : | p. 146-155 |
| Note générale : | https://doi.org/10.1016/j.jen.2017.11.001 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Avortement spontane ; Grossesse ; Urgences |
| Mots-clés: | Management ; Service hospitalier d'urgences |
| Résumé : |
Introduction
Women frequently seek ED care for complications in early pregnancy, including loss of pregnancy. This review evaluates the current literature and discusses the care of patients experiencing loss of pregnancy in the emergency department. Methods A review of pertinent studies identified through multiple database searches was conducted to determine the existing body of knowledge for the care of ED patients diagnosed with loss of pregnancy. Each of the studies was examined for inclusion criteria and a subsequent analysis of the included studies identified themes related to the care of the women. Results Thirty-two original research articles and systematic reviews published between 1990 and 2016 were included in the review. Eleven articles addressed recommendations for clinical practice, 5 reported statistics related to pregnancy outcome and clinical presentation, 4 discussed the use of speculum examinations, 4 discussed interventions to decrease ED length of stay, and 3 investigated the use of ultrasound in the emergency department. Only 5 of the articles reviewed discussed emotional support and/or experiences of women with loss of pregnancy in the emergency department. Conclusion Although there are multiple recommendations for the clinical management of loss of pregnancy in the emergency department, the psychological and emotional support of women was addressed infrequently. Additional studies investigating holistic care would be beneficial for ED providers in the management of early loss of pregnancy. Image 1 Contribution to Emergency Nursing Practice •This review identifies current best practice for management of loss of pregnancy in the emergency department, including incorporating targeted ultrasound, decreased use of speculum examinations, and operational changes to improve patient length of stay. •Emergency care should incorporate clinical and psychological care for patients experiencing loss of pregnancy; however, few resources are available for psychological care. •This review recognizes a need for additional research and education in the emotional care and psychological health of women experiencing loss of pregnancy in the emergency department. |
| Disponible en ligne : | Non |
Exemplaires (1)
| Cote | Support | Localisation | Section | Disponibilité |
|---|---|---|---|---|
| REV | Périodique papier | Woluwe | Espace revues | Consultation sur place uniquement Exclu du prêt |
