Abstract
Pre-operative pregnancy testing (POPT) and the undiagnosed pregnancy rate in an elective gynaecology surgery population
Highlights
Pre-Operative Pregnancy Testing (POPT) for females undergoing elective/semi-urgent surgery has been recommended but there is limited incidence of undiagnosed pregnancy information or practice/ process for implementation of pregnancy testing demonstrated in the literature
Douglas WR (2015) Pre-operative pregnancy testing (POPT) and the undiagnosed pregnancy rate in an elective gynaecology surgery population audit was restricted to the pre-operative pregnancy testing question only
While many jurisdictions and services have indicated that pre-operative surgical POPT guidelines need to be developed and implemented, these practices have not been widely initiated
Summary
Pre-Operative Pregnancy Testing (POPT) for females undergoing elective/semi-urgent surgery has been recommended but there is limited incidence of undiagnosed pregnancy information or practice/ process for implementation of pregnancy testing demonstrated in the literature. The Alberta Institute for Health Economics in 2007 recommended ‘a consensus development conference involving a group of 12-18 experts in the field be convened to answer, amongst other things, the benefits and potential harms of routine preoperative testing in Alberta’[1]. The POPT process has been a standard of care for elective gynaecologic surgery patients in Calgary, Alberta since June 2002 This was initially introduced in single Calgary based hospital gynaecology daycare following an incident and case review of gynaecologic hysterectomy surgery in an unrecognized pregnant woman. What is the incidence of an undiagnosed pregnancy in females undergoing elective surgery in an urban hospital?
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