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Pregnancy screening prior to chemotherapy administration
L Hu1, G Kichenadasse2, H Martin1
1Flinders Centre for Innovation in Cancer, Flinders Medical Centre/Flinders University, Adelaide, South Australia, Australia.
Internal Medicine Journal
|October 14, 2016
Summary
Pre-chemotherapy pregnancy screening compliance was low for women of childbearing potential at Flinders Medical Centre. Only 40% of patients under 40 and 20.5% overall received screening before chemotherapy.
Area of Science:
- Oncology
- Reproductive Health
- Clinical Compliance
Background:
- Chemotherapy can pose risks to undetected pregnancies.
- Guidelines recommend pregnancy screening before initiating chemotherapy for women of childbearing potential.
Purpose of the Study:
- To assess adherence to pre-chemotherapy pregnancy screening protocols.
- To identify compliance rates at Flinders Medical Centre.
Main Methods:
- Retrospective review of patient case notes.
- Inclusion of female patients aged 18-55 commencing chemotherapy between January and December 2014.
- Analysis of pregnancy screening status for women of childbearing potential.
Main Results:
- Pregnancy screening was performed in only 40% of patients under 40 years old.
- Overall compliance with screening across the entire age range was 20.5%.
- Low adherence to screening protocols was observed.
Conclusions:
- Compliance with pre-chemotherapy pregnancy screening requires improvement.
- Further strategies are needed to ensure adequate screening for women of childbearing potential receiving chemotherapy.
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