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Women Prefer Office Procedure during treatment of Early Pregnancy

demonstrate that office-based procedures are safer than traditional operating room management, the authors said they are concerned about the four-fold increase in bleeding-related complications in the operating room group in this study. The most likely explanation for this finding was that all but one of the operating room procedures were done under general anesthesia, which may contribute to increased blood loss.

Patients opting to have the office procedure reported expecting higher levels of pain than those going to the operating room, and as anticipated, they reported higher pain scores.

There were no major complications in either group. Further, no office procedure was moved to the operating room or converted to general anesthesia for patient discomfort.

Those enrolled in the study were women 18 and older who came to the U-M Department of Obstetrics and Gynecology for surgical management of a first-trimester early pregnancy. In all, 165 women enrolled in the study, including 115 in the office group and 50 who chose the operating room.

Participants completed a self-administered questionnaire at the time of enrollment. Immediately before discharge, they completed a second questionnaire addressing pain, bleeding and satisfaction with care.

The findings "dispute the notion that current practices are based on patient preferences," Dalton says. "Overall, our institution's experience has been that about half of women choose to have their procedures completed in the office. In the study group, only 25 percent of study participants reported that being asleep for the procedure was highly important. Instead, many participants opted for an office procedure that better meets other needs such as privacy and efficiency.

"It is important that we pay attention to their wishes and offer the services that best meet their needs," she says.

Source: Eurekaler
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