Optimization of medical care for patients with ectopic pregnancy at the prehospital stage

Abstract

To date, throughout the world, a gold standard for the diagnosis of ectopic pregnancy has been recognized as a study of serum at β-hCG in combination with transvaginal echography. Ectopic pregnancy takes the first place among gynecological diseases in terms of the number of diagnostic errors, especially at an early stage. Purpose of the study. Analyze the defects in the provision of medical care to patients with ectopic pregnancy at an outpatient and outpatient stage and develop an optimized approach for providing primary care to patients with ectopic pregnancy. Material and methods. A retrospective analysis of 194 patients with confirmed ectopic pregnancy according to medical records and a prospective analysis of the quality of care in 332 patients with suspected ectopic pregnancy, taking into account the identified defects according to the optimized approach. Results. Using an optimized approach in the diagnosis of ectopic pregnancy, it is possible to increase the efficiency of diagnosis on the first visit from 27,1% to 76,1%, and significantly improves the quality of primary care.