AI Article Synopsis
- The introduction of the Early Pregnancy Assessment Unit (EPAU) in a Dutch university hospital in 2008 significantly improved early pregnancy care quality by analyzing outcomes in 2006, 2009, and 2012.
- The admission rates for women experiencing miscarriage dropped from 14% in 2006 to none in 2009 and 2012, while surgical management for miscarriage and ectopic pregnancy also decreased dramatically.
- Overall treatment costs per woman were reduced from €1111 in 2006 to €436 in 2009 and €633 in 2012, indicating that EPAUs provide more cost-effective care while enhancing treatment quality.
Article Abstract
In this observational study, the effect of the introduction of the first Early Pregnancy Assessment Unit (EPAU) in a university hospital in The Netherlands in 2008 on early pregnancy care is analysed. Derivatives of quality of care were measured before and after the establishment of the EPAU, with the aim of reducing unnecessary care. Care within three time periods was measured: 2006, 2009 and 2012. In 2006, 14% of women who had experienced a miscarriage were admitted to the hospital, whereas in 2009 and 2012 no women were admitted. The surgical management rate for miscarriage decreased from 79% (2006) to 6% (2009) and 28% (2012). Karyotyping of couples who had experienced recurrent miscarriage decreased from 100% (2006) to 17% (2009) and 33% (2012). The surgical management rate for ectopic pregnancy decreased from 50% (2006) to 25% (2009) and 29% (2012). The mean total cost per woman treated in 2006 was €1111 (95% CI €808 to 1426), €436 (95% CI €307 to 590) in 2009 and €633 (95% CI €586 to 788) in 2012. We can therefore conclude that an EPAU results in higher quality and cost-effective care, and has a positive effect on early pregnancy care.
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| http://dx.doi.org/10.1016/j.rbmo.2015.04.008 | DOI Listing |
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