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Impact of a standardised decision-making tool on the identification of abortion-seeking patients at risk of ectopic pregnancy: A human factors approach.
Appl Ergon
December 2024
Human Factors and Complex Systems, School of Design and Creative Arts, Loughborough University, UK.
Ectopic pregnancies are uncommon among women presenting for abortion. However, where suspected, rapid referral for definitive diagnosis is essential to prevent harm. We assessed whether implementation of a standardised decision-making tool, an algorithmic representation of the clinical decisions and associated actions defined in policy, in a British abortion service was associated with a reduction in missed opportunities to escalate care where indicated.
View Article and Find Full Text PDFDiagnostic challenges and management of complete interstitial ectopic pregnancy: A case report in a rural setting.
Int J Gynaecol Obstet
December 2024
Department of Obstetrics and Gynecology, South Central Regional Medical Center, Laurel, Mississippi, USA.
Ectopic pregnancy is associated with increased risk of displaced implantation window: a retrospective study.
BMC Pregnancy Childbirth
December 2024
Department of Reproductive Medicine Center, Xiangya Hospital, Central South University, Changsha, 410008, Hunan, China.
Background: To evaluate the risk factors associated with WOI (window of implantation) displacement based on ERT (endometrial receptivity test), and to confirm the association of ectopic pregnancy with WOI displacement.
Methods: This is a retrospective study at the Reproductive Medicine Center of Xiangya Hospital from January 2020 to April 2024, consisting of 934 patients who performed ERT. The patients underwent 3771 assisted reproductive technology (ART) cycles and 2629 embryo transfer (ET) cycles, with each patient experiencing at least one implantation failure.
Association between antinuclear antibodies and pregnancy prognosis in recurrent pregnancy loss patients.
Hum Reprod
December 2024
Department of Obstetrics and Gynecology, Graduate School of Medical Sciences, Nagoya City University, Nagoya, Aichi, Japan.
Study Question: Can antinuclear antibodies (ANA) affect the subsequent live birth rate (LBR) in patients with unexplained recurrent pregnancy loss (RPL) in the absence of antiphospholipid antibodies (aPL)?
Summary Answer: Women with unexplained RPL have a high probability of live birth following a positive pregnancy test (>70%), being similar between those with positive and negative ANA testing, regardless of the cut-off value.
What Is Known Already: The RPL guidelines of the ESHRE state that 'ANA testing can be considered for explanatory purposes'. However, there have been a limited number of studies on this issue and sample sizes have been small, and the impact of ANA on the pregnancy prognosis is unclear.
Enhancing decision-making in tubal ectopic pregnancy using a machine learning approach to expectant management: a clinical article.
BMC Pregnancy Childbirth
December 2024
Department of Obstetrics and Gynecology, Meir Medical Center, Kfar Saba, Israel.
Objective: To refine decision-making regarding expectant management for ectopic pregnancy (EP) using machine learning.
Methods: This retrospective study addressed expectant management in stable patients with ampullar EP, 2014-2022. Electronic medical record data included demographics, medical history, admission data, sonographic findings, and laboratory results.
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