General Information
The gynecologic emergency room is available to all women presenting with gynecologic problems (e.g., vaginal bleeding, pelvic pain, urinary infection, ascertainment of assault, emergency contraception) or obstetrical problems (e.g., early pathologic pregnancy checkup, bleeding in pregnancy, contractile activity, hypertension).
The degree of urgency is defined by clinical status and vital signs, not by the patient's order of arrival. As soon as possible, a physician will perform the examination; a cadre physician supervises the intake. Sometimes the clinical situation requires the support of complementary examinations (laboratory, US, CT) or the intervention of a different specialist, and this may result in an extended waiting time before a diagnosis is made.
Depending on the diagnosis, women can be:
- Discharged home, with a detailed medical report, which, with the patient's agreement, can be sent to the family physician and/or the attending gynecologist (in this case, before leaving the emergency department, we encourage patients to ask all questions pertaining to the return home and, if necessary, to ask for any medical certificates that may be needed).
- Re-evaluate at 24-48 h at the emergency department or at the gynecology and obstetrics EOC outpatient clinics.
- If necessary, transferred to operating room for emergency surgery.
- If in labor, admitted to delivery room.
- Admitted to the gynecology department.
- Admitted to the obstetrics department.
