Abstract
Introduction: A recent report showed PE as a major cause of maternal death in the UK (CMACE,BJOG 2011;118(Suppl.1):1-203); delays in diagnostic tests, treatment and poor knowledge of radiological safety are contributing factors. The Royal College of Obstetricians & Gynaecologists provides a protocol for suspected PE (Greer, I.A.et al.RCOG Green-top Guideline No.28 Feb 2007).
Aims:To gauge the level of guideline-awareness in medical trainees and evaluate the management of suspected PE in pregnancy in a UK District Hospital.
Methods: A survey of medical trainee knowledge of investigative pathways, radiation-exposure risks and guideline awareness. We also analysed management of pregnant women with suspected PE between 2009-11.
Results: 76% of medical trainees and 58% of Respiratory SpRs were unaware of guidelines and had poor knowledge of radiation risks.
Table 1
41 women had symptoms of PE and were investigated as shown.
3 patients had PE confirmed(7.3%). Only 15% of women were investigated as per RCOG guidelines.
Conclusion: Our study revealed poor guideline-awareness for PE in pregnancy highlighting the need for better dissemination of these guidelines to medical trainees.
- © 2012 ERS
