The implementation of urine pregnancy testing services has the potential to improve both maternal and neonatal health by decreasing gestational age at presentation for AnC and abortion services among women who are pregnant, as well as by channeling non-pregnant women who wish not to become pregnant into contraceptive care.
Our objective was to determine outcomes of women who presented to an Australian regional ED with diagnoses consistent with early pregnancy complications following the implementation of an early pregnancy assessment service (EPAS) and early pregnancy assessment protocol (EPAP) in July 2011.
This initiative has the potential to transform the design and implementation of future teen pregnancy prevention efforts and provide a model that can be replicated in communities across the nation.
Thus, further evaluation in larger studies is urgently needed before wide implementation of CGMS during pregnancy.
In a large retrospective study, it was shown that with the implementation of eSET multiple pregnancy delivery rates could drop from 25to5%5% (Tiitinen et al., 2003).
The number of women in their early pregnancy which could be enrolled was estimated before (as 1000) to be sufficient for pilot implementation of pharmacovigilance system in pregnancy but no formal sample size calculation was performed.
Further research to assess the usefulness, acceptability and implementation of decision aids by pregnancy care providers is essential to ensure optimal application.
11 12 As routine anti-RhD prophylaxis is recommended from 28 weeks, and anti-RhD immunoglobulin is administered earlier in pregnancy after any potential sensitising event, implementation of fetal RHD testing earlier in pregnancy would maximise potential benefits and cost reduction.
This information is of public health relevance for malaria endemic countries in Africa, and should serve to stimulate at national and international levels, the implementation of malaria prevention strategies in pregnancy, not only as a measure to reduce low birth weight but also to directly reduce neonatal mortality.
For a brief triage and a subsequent referral to psychiatric care or provision of support for women with mental disorders during pregnancy, the implementation of a comprehensive set of at least five psychiatric triage items is warranted.
