{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T04:41:40Z","timestamp":1775018500189,"version":"3.50.1"},"reference-count":10,"publisher":"Galenos Yayinevi","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Facts Views Vis ObGyn"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:p>Background: In response to the COVID-19 pandemic, a central London tertiary referral hospital\u2019s nurse-led Early Pregnancy &amp; Acute Gynaecology Unit (EPAGU) suspended its walk-in service in favour of a telephone triage system with scheduled appointments.\n\nObjective: To assess if the pandemic and this adaptation to clinical services had an impact on the presentation, management and complication rate of ectopic pregnancies.\n\nMaterials and Methods: A retrospective review was performed of ectopic pregnancies diagnosed in the EPAGU between 5th of March 2020 \u2013 15th of July 2020 (pandemic) and 5th of March 2019 \u2013 15th of July 2019 (pre-pandemic).\n\nMain outcome measures: Ultrasound findings, patient demographics, serum hCG concentrations, operative findings and complications.\n\nResults: There was a 36% reduction in attendances to the unit during the pandemic. Allowing for this, there was no significant difference in the diagnosis rate between the two periods. There was no significant difference in the gestation at diagnosis, serum hCG concentration or volume of mass at presentation. There was also no significant difference in rate of surgical intervention or complications including rupture of fallopian tube, haemoperitoneum or need for blood transfusion.\n\nConclusion: This study suggests this is a safe means of caring for women with ectopic pregnancies which does not limit management options nor lead to higher complication rates.\n\nWhat is new: Other EPAGUs may choose to adopt a telephone triage system with reassurance of its safety.<\/jats:p>","DOI":"10.52054\/fvvo.13.4.042","type":"journal-article","created":{"date-parts":[[2022,1,14]],"date-time":"2022-01-14T00:17:42Z","timestamp":1642119462000},"page":"395-398","source":"Crossref","is-referenced-by-count":3,"title":["The impact of the Covid-19 pandemic on care of women with ectopic pregnancy in a tertiary London hospital"],"prefix":"10.52054","volume":"13","author":[{"given":"J.E.","family":"Gaughran","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D.M.","family":"Geddes-Barton","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T","family":"Lyne","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"F","family":"Bailey","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C","family":"Ovadia","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T","family":"Holland","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2811","published-online":{"date-parts":[[2022,1]]},"reference":[{"key":"ref0","doi-asserted-by":"publisher","unstructured":"Bloom-Feshbach K, Simonsen L, Viboud C et al. Natality decline and miscarriages associated with the 1918 influenza pandemic: the Scandinavian and United States experiences. J Infect Dis. 2011;204:1157-64.","DOI":"10.1093\/infdis\/jir510"},{"key":"ref1","doi-asserted-by":"crossref","unstructured":"Elson, CJ, Salim, R, Potdar, N et al. on behalf of the Royal College of Obstetricians and Gynaecologists. Diagnosis and management of ectopic pregnancy. BJOG. 2016;123:e15-e55.","DOI":"10.1111\/1471-0528.14189"},{"key":"ref2","doi-asserted-by":"publisher","unstructured":"Gaughran J, Geddes-Barton M, Naji O et al. VP59.13: COVID-19: the impact on gynaecology. Ultrasound Obstet Gynecol. 2020;56:317.","DOI":"10.1002\/uog.23297"},{"key":"ref3","unstructured":"Medical Research Council & NHS Health Research Authority. Do I need NHS REC Review online tool. 2021."},{"key":"ref4","unstructured":"NICE. Quality Standard 69: Ectopic pregnancy & miscarriage. 2014, https:\/\/www.nice.org.uk\/guidance\/QS69."},{"key":"ref5","unstructured":"Office for National Statistics (ONS): Provisional births in England and Wales 2020 , https:\/\/www.ons.gov.uk\/releases\/provisionalbirthsinenglandandwales2020."},{"key":"ref6","doi-asserted-by":"publisher","unstructured":"Poon LC, Yang H, Dumont, S, et al. ISUOG Interim Guidance on coronavirus disease 2019 (COVID-19) during pregnancy and puerperium: information for healthcare professionals \u2013 an update. Ultrasound Obstet Gynecol. 2020;55:848-62.","DOI":"10.1002\/uog.22061"},{"key":"ref7","unstructured":"RCOG. Green Top Guideline. Guidelines for rationalising early pregnancy serviced in the evolving coronavirus (COVID-19) pandemic. 2020, https:\/\/www.rcog.org.uk\/globalassets\/documents\/guidelines\/2020-05-15-guidance-for-rationalising-early-pregnancy-services-in-the-evolving-coronavirus-covid-19-pandemic.pdf."},{"key":"ref8","unstructured":"RCOG & BGSE. Joint RCOG\/BSGE Guidance on gynaecological endoscopy during the Covid-19 pandemic. 2020 , https:\/\/www.rcog.org.uk\/globalassets\/documents\/guidelines\/2020-12-21-joint-rcog-bsge-gynaecological-endoscopy.pdf."},{"key":"ref9","unstructured":"World Health Organisation. Coronavirus Disease (COVID 19): Events as they happen. 2019 , https:\/\/www.who.int\/emergencies\/diseases\/novel-coronavirus-2019\/events-as-they-happen."}],"container-title":["Facts, Views and Vision in ObGyn"],"original-title":[],"language":"en","deposited":{"date-parts":[[2025,2,14]],"date-time":"2025-02-14T05:55:19Z","timestamp":1739512519000},"score":1,"resource":{"primary":{"URL":"https:\/\/fvvo.eu\/articles\/doi\/FVVO.13.4.042"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,12]]},"references-count":10,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2022,1]]},"published-print":{"date-parts":[[2021,12]]}},"URL":"https:\/\/doi.org\/10.52054\/fvvo.13.4.042","relation":{},"ISSN":["2684-4230","2032-0418"],"issn-type":[{"value":"2684-4230","type":"electronic"},{"value":"2032-0418","type":"print"}],"subject":[],"published":{"date-parts":[[2021,12]]}}}