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
'"/>Page: 1 2 3 Related medicine news :1.
Women suffer from sexual dysfunction too2.
Women find difficulty in calling it Quits3.
Women recognise faces better4.
Women more susceptible to brain damage from ecstasy5.
Good News For Women With Gestational Diabetes6.
Unsatisfactory Grade On Womens Health Issues 7.
Risk for Pregnant Women 8.
Womens strong sense of smell9.
Women need to exercise more to prevent obesity10.
Women benefit from consuming fish 11.
Women are at risk with raised cholesterol