A termination of pregnancy Care Pathway: worth the effort?

A termination of pregnancy Care Pathway: worth the effort?

K. Guthrie (1), C. Waudby (2), P. Arnott (3)

Sexual and Reproductive Health Care Partnership, Hull and East Yorkshire,

UK (1); Eastern Hull Primary Care Trust, UK (2); Women’s and Children’s

Unit, Hull and East Yorkshire Hospitals NHS Trust, UK (3)

Introduction: Termination of Pregnancy services in Hull were

centralised under one consultant in 1994/5. This included a central booking line

and a clinic doctors’ performa. However, co-ordination of elements of the

service was difficult, duplication of work was evident and some aspects of the

service were fragmented.

Aims and Methods: To co-ordinate care between clinical areas, sites

and professions and to ensure adherence to quality standards (RCOG Guidelines),

a full Care Pathway was developed with supporting guidelines and patient

information leaflets. This covered the patient’s journey from considering/requesting

a termination until closure of the patient episode. Variances from the pathway

were recorded as a quality tool. Results: The pathway and supporting elements

will be described including the first 18 months variance analysis.

Conclusion: The pathway has been very well received by patients and

staff, has achieved its objectives and has fully justified the effort required

in its production.

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