Publications by authors named "M Memtsa"
Ectopic pregnancy, defined as the implantation of a developing pregnancy outside of the endometrial cavity of the uterus, is the leading cause of early-pregnancy maternal mortality. The majority of ectopic pregnancies implant in a fallopian tube. Acute complications may include rupture of the fallopian tube or rupture of ectopic pregnancy, haemorrhage and hypovolaemic shock, or occur secondary to treatments such as emergency surgery or blood transfusions, and ultimately increase the risk of maternal death.
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- Early Pregnancy Loss (EPL) significantly impacts women's physical and psychological health, yet there is a lack of guided hospital support services in the UK, making the evaluation of an Early Pregnancy Loss Support Clinic (EPLSC) crucial.
- The evaluation gathered quantitative data using questionnaires to measure patient satisfaction and anxiety levels, alongside qualitative insights from interviews focusing on women’s health experiences and support needs.
- Results showed high satisfaction rates among the 110 women who attended the EPLSC, with many reporting reduced anxiety and emphasizing the importance of emotional support and the role of the bereavement midwife.
Background: Women who suffer an early pregnancy loss require specific clinical care, aftercare, and ongoing support. In the UK, the clinical management of early pregnancy complications, including loss is provided mainly through specialist Early Pregnancy Assessment Units. The COVID-19 pandemic fundamentally changed the way in which maternity and gynaecological care was delivered, as health systems moved to rapidly reconfigure and re-organise services, aiming to reduce the risk and spread of SARS-CoV-2 infection.
View Article and Find Full Text PDFProblem: Early pregnancy losses [EPL] are common, varied, and require different courses of management and care.
Background: In the UK, women who suspect or suffer a pregnancy loss are usually provided specialist care in early pregnancy assessment units [EPAUs]. Their configuration has recently been evaluated, but recommendations for change in-line with best practice for optimum outcomes were unable to be implemented due to the COVID-19 pandemic health system shock.
Objective: To address methodological deficiencies in published randomized controlled trials and systematic reviews, this study has developed a core outcome set to guide future research in ectopic pregnancy (EP).
Design: To identify potential outcomes, we performed a comprehensive literature review and interviews with individuals with lived experience in EP. Potential core outcomes were then entered into a 3-round Delphi survey.