Refusal of the hospitalization: a distressed dilemma in obstetric practice.
Background: Pregnant women are a special population in which hospitalizations are more recommended due to physiological changes mimicking pathologies and medico-legal concerns. Objectives: We aimed to assess the obstetric outcomes of expectant mothers who were admitted to the obstetrics emergency ou...
| Publicado en: | Therapeutic Advances in Reproductive Health pp. 1 - 8 |
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| Autores principales: | , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Sage Publications Inc.
12/25/2023
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=174475781&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 174475781 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 26334941 N9DZ jtl: Therapeutic Advances in Reproductive Health issn: 26334941 maglogo: N pubinfo: dt: 12/25/2023 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 174475781 174475781 174475781 10.1177/26334941231216531 174475781 ppf: 1 ppct: 7 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Refusal of the hospitalization: a distressed dilemma in obstetric practice. aug: au: Unal, Canan Fadiloglu, Erdem Cagan, Murat Ziyadova, Gunel Kaya, Esra Tanacan, Atakan Beksac, Mehmet Sinan affil: Conceptualization, Division of Perinatology, Department of Obstetrics and Gynecology, Hacettepe University, Ankara, Turkey sug: subj: Pregnancy Outcomes Evaluation Expectant Mothers Obstetric Emergencies Ambulatory Care Facilities Hospitalization Treatment Refusal Human Turkiye Pregnancy Female Readmission Retrospective Design Data Analysis Software Chi Square Test Fisher's Exact Test Comparative Studies Record Review Female ab: Background: Pregnant women are a special population in which hospitalizations are more recommended due to physiological changes mimicking pathologies and medico-legal concerns. Objectives: We aimed to assess the obstetric outcomes of expectant mothers who were admitted to the obstetrics emergency outpatient clinic and declined the hospitalization advised by doctors. Additionally, we examined the appropriateness of physicians' recommendations. Design: We have retrospectively evaluated the patients admitted to the 'Obstetric Emergency Outpatient Clinic' and refused hospitalization between 1 January 2019 and 31 December 2019. Methods: Cases were classified into three groups based on the trimester, considering the substantial variation between complaints and complications in each trimester. The complaints of pregnant women were categorized as psychosocial causes, obstetric complications, maternal systemic complaints, and suspicion of labor. We evaluated the compatibility of the hospitalization decision with the pregnancy outcome of patients. Results: A total of 958 pregnant women were included in the study. Leading causes for admissions were obstetric complications, maternal systemic complaints, and suspicion of labor in first, second, and third trimesters, respectively. Psychosocial causes were mostly observed in the second trimester. Readmission to the hospital within a week was highest in the third trimester group. According to pregnancy outcomes, 12.5% (94/753) of our recommendations were appropriate in all trimesters. Conclusion: Obstetricians seem overcautious in managing obstetric patients and willing to offer hospitalization more often than the actual requirements. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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