Clinical characteristics and factors associated with hospitalization in cases requiring obstetrics and gynecology consultation in a tertiary emergency department

Gökhan Taşkın; Eylem Ersan; Samet Kıyak

doi:10.32322/jhsm.1858925

Clinical characteristics and factors associated with hospitalization in cases requiring obstetrics and gynecology consultation in a tertiary emergency department

Abstract

Aims: Gynecology and obstetrics (GYN/OB) related presentations constitute a significant portion of the emergency department (ED) workload. This study aimed to determine the presentation characteristics, diagnosis distribution, and factors associated with hospitalization in cases requiring GYN/OB consultation in the ED of a university hospital. Methods: In this single-center, retrospective, descriptive study, cases evaluated in the ED between January 1, 2020, and October 30, 2025, for which a GYN/OB consultation was requested were examined. Only the first record was used for repeated visits by the same patient. Data were obtained from the hospital information management system (HIMS); outcomes were coded as discharge=0, admission=1. Variables associated with admission were evaluated using a multivariate logistic regression model. Results: A total of 6037 cases were analyzed [median age 28 (24-34)]. 95.5% of visits were outpatient, 4.5% were via emergency medical services (EMS); 50.9% of cases presented during the evening shift. Annual visits increased from 2020 to 2023 and decreased from 2024 to 2025. Fifty-eight-point eight percent of cases resulted in admission; of these admissions, 50% were to the delivery room, 27% to the ward, and 23% were surgical admissions. The most common diagnosis was labor pain (45.3%), followed by abnormal uterine bleeding (9.1%) and abdominal pain (8%). There was a significant association between diagnosis and admission (p<0.001). In multivariate analysis, obstetric class (aOR=1.84; 95% CI 1.63-2.08) and presentation via EMS (aOR=1.43; 95% CI 1.11-1.85) were independently associated with admission. Conclusion: Most presentations requiring GYN/OB consultation are obstetric in nature, with labor being the most common reason for presentation. Obstetric clinical class and presentation via EMS were associated with higher likelihood of hospital admission, suggesting potential predictors of hospitalization in this population; however, the overall predictive performance of the model was limited. The findings are important for rationalizing obstetric workflow in EDs and supporting human resource planning with local data.

Keywords

References

McDermott KW, Reid LD, Owens PL. Expected Payers and Patient Characteristics of Maternal Emergency Department Care, 2019. Agency for Healthcare Research and Quality; 2022.
Varner CE, Park AL, Little D, Ray JG. Emergency department use by pregnant women in Ontario: a retrospective population-based cohort study. CMAJ Open. 2020;8(2):E304-e12. doi:10.9778/cmajo.20190154
Boz İzceyhan G, Karakuş R. Assessment of patients’ perception of emergency in the gynecology and obstetrics emergency clinic: Is it an actual emergency? A retrospective analysis. Zeynep Kamil Med J. 2025;56(4):220-224. doi:10.14744/zkmj.2025.67674
Alnasser S, Alharbi M, AAlibrahim A, et al. Analysis of emergency department use by non-urgent patients and their visit characteristics at an academic center. Int J Gen Med. 2023;16:221-232. doi:10.2147/IJGM.S391126
Glicksman R, Little D, Thompson C, McLeod S, Varner C. Emergency department utilization and outcomes for patients with early pregnancy complications. J Obstetr Gynaecol Canada. 2020;42(5):675. doi:10.1016/j.jogc.2020.02.043
Gilroy LC, Tomczyk SR. Pregnancy-related emergency department visits in a clinic population: a quality improvement review [28R]. Obstet Gynecol. 2019;133:198S-199S. doi:10.1097/01.AOG.0000559167.52611.2e
Menekse TS, Sert ZS, Sert ET. Clinical characteristics and outcomes of pregnant women admitted to the emergency department. 2022. doi:10.5455/annalsmedres.2022.06.193
Keyif B, Yurtçu E, Yıldız SM, Boğan M. A 12-year retrospective review of gynecological consultations in the emergency department: the effect of time of presentation on clinical outcomes. J Gynecol Obstetr Neonatol. 2025;22(3):359-366. doi:10.38136/jgon.1762827

Tsegaye A, Somigliana E, Alemayehu T, et al. Ambulance referral for emergency obstetric care in remote settings. Int J Gynecol Obstetr. 2016; 133(3):316-319. doi:10.1016/j.ijgo.2015.11.012
Adem MA, Tezera ZB, Agegnehu CD. The practice and determinants of ambulance service utilization in pre-hospital settings, Jimma City, Ethiopia. BMC Emerg Med. 2024;24(1):81. doi:10.1186/s12873-024-00999-8
Amadori R, Buscemi R, Desando A, Grillo F, Remorgida V, Surico D. Obstetrics and gynecology emergency department activity during lockdown in a teaching hospital, hub center, for COVID-19. Obstetr Gynecol Int. 2022;2022(1):7557628. doi:10.1155/2022/7557628
Carbone L, Raffone A, Travaglino A, et al. The impact of the COVID-19 pandemic on obstetrics and gynecology hospitalization rates and reasons for seeking emergency care: a systematic review and meta-analysis. J Mater Fetal Neonat Med. 2023;36(1):2187254. doi:10.1080/14767058. 2023.2187254
Özkan A, Acar Z. Examination of repeated visits to obstetric emergency departments: why? How often? J Health Acad. 2024;11(3):398-403. doi: 10.52880/sagakaderg.1469135
Sabloak T, Yee LM, Feinglass J. Antepartum emergency department use and associations with maternal and neonatal outcomes in a large hospital system. Womens Health Rep (New Rochelle). 2023;4(1):562-570. doi:10.1089/whr.2023.0072
Brown HK, Varner C, Ray JG, et al. Comparison of emergency department use between pregnant people with and without disabilities in Ontario, Canada. JAMA Network Open. 2023;6(8):e2327185-e. doi:10. 1001/jamanetworkopen.2023.27185
Goodwin G, Marra E, Ramdin C, et al. A national analysis of ED presentations for early pregnancy and complications: implications for post-Roe America. Am J Emerg Med. 2023;70:90-95. doi:10.1016/j.ajem. 2023.05.011
Murugesu S, Linton-Reid K, Braun E, et al. Predicting outcomes of expectant and medical management in early pregnancy miscarriage using machine learning to develop and validate multivariable clinical prediction models. BMC Preg Childbirth. 2025;25(1):225. doi:10.1186/s12884-025-07283-y
Şal H, Demir Ö. The impact of the COVID-19 pandemic on gynecology and obstetrics emergency admissions. Gümüşhane Univ J Health Sci. 2025;14(4):1355-1363.
Cash RE, Kaimal AJ, Samuels-Kalow ME, Boggs KM, Swanton MF, Camargo Jr CA. Epidemiology of emergency medical services-attended out-of-hospital deliveries and complications in the United States. Prehospit Emerg Care. 2024;28(7):890-897. doi:10.1080/10903127.2023.2283892
Alaleit OD, Kajjimu J, Joseph K, Namirembe MS, Agaba PK, Kintu A. Description and analysis of the emergency obstetric interfacility ambulance transfers (IFTs) to Kawempe National Referral Hospital in Uganda. African J Emerg Med. 2023;13(3):183-190. doi:10.1016/j.afjem. 2023.06.003
Wirtu R, Yeshanew S, Geda A. Utilization of ambulance services and associated factors during pregnancy and labor among lactating mothers in Buno Bedele Zone, Southwest Ethiopia. Health Services Insights. 2023;16:11786329231157227. doi:10.1177/11786329231157
Chauke L. Improving access to emergency obstetrics care in low- and middle-income countries. Best Pract Res Clin Obstetr Gynaecol. 2024: 102572. doi:10.1016/j.bpobgyn.2024.102572
Declercq ER, Liu CL, Cabral HJ, Amutah-Onukagha N, Diop H, Mehta PK. Emergency care use during pregnancy and severe maternal morbidity. JAMA Network Open. 2024;7(10):e2439939-e. doi:10.1001/jamanetworkopen.2024.39939
Mazzoni D, Amadori R, Sebri V, et al. Health anxiety and oppressive support: their impact on decisions for non-urgent use of the emergency department of obstetrics and gynecology. Curr Psychol. 2024;43(12): 10904-10913. doi:10.1007/s12144-023-05198-5

Details

Primary Language

English

Subjects

Emergency Medicine

Journal Section

Research Article

Authors

Gökhan Taşkın ^*
0009-0001-3627-6450
Türkiye

Eylem Ersan
0000-0002-1756-0261
Türkiye

Samet Kıyak
0000-0003-3691-6355
Türkiye

Publication Date

May 19, 2026

Submission Date

January 8, 2026

Acceptance Date

April 25, 2026

Published in Issue

Year 2026 Volume: 9 Number: 3

DOI

https://doi.org/10.32322/jhsm.1858925

IZ

https://izlik.org/JA95CN97MU

Cite

RIS / Bibtex

APA

Taşkın, G., Ersan, E., & Kıyak, S. (2026). Clinical characteristics and factors associated with hospitalization in cases requiring obstetrics and gynecology consultation in a tertiary emergency department. Journal of Health Sciences and Medicine, 9(3), 596-602. https://doi.org/10.32322/jhsm.1858925

AMA

1.Taşkın G, Ersan E, Kıyak S. Clinical characteristics and factors associated with hospitalization in cases requiring obstetrics and gynecology consultation in a tertiary emergency department. J Health Sci Med / JHSM. 2026;9(3):596-602. doi:10.32322/jhsm.1858925

Chicago

Taşkın, Gökhan, Eylem Ersan, and Samet Kıyak. 2026. “Clinical Characteristics and Factors Associated With Hospitalization in Cases Requiring Obstetrics and Gynecology Consultation in a Tertiary Emergency Department”. Journal of Health Sciences and Medicine 9 (3): 596-602. https://doi.org/10.32322/jhsm.1858925.

EndNote

Taşkın G, Ersan E, Kıyak S (May 1, 2026) Clinical characteristics and factors associated with hospitalization in cases requiring obstetrics and gynecology consultation in a tertiary emergency department. Journal of Health Sciences and Medicine 9 3 596–602.

IEEE

[1]G. Taşkın, E. Ersan, and S. Kıyak, “Clinical characteristics and factors associated with hospitalization in cases requiring obstetrics and gynecology consultation in a tertiary emergency department”, J Health Sci Med / JHSM, vol. 9, no. 3, pp. 596–602, May 2026, doi: 10.32322/jhsm.1858925.

ISNAD

Taşkın, Gökhan - Ersan, Eylem - Kıyak, Samet. “Clinical Characteristics and Factors Associated With Hospitalization in Cases Requiring Obstetrics and Gynecology Consultation in a Tertiary Emergency Department”. Journal of Health Sciences and Medicine 9/3 (May 1, 2026): 596-602. https://doi.org/10.32322/jhsm.1858925.

JAMA

1.Taşkın G, Ersan E, Kıyak S. Clinical characteristics and factors associated with hospitalization in cases requiring obstetrics and gynecology consultation in a tertiary emergency department. J Health Sci Med / JHSM. 2026;9:596–602.

MLA

Taşkın, Gökhan, et al. “Clinical Characteristics and Factors Associated With Hospitalization in Cases Requiring Obstetrics and Gynecology Consultation in a Tertiary Emergency Department”. Journal of Health Sciences and Medicine, vol. 9, no. 3, May 2026, pp. 596-02, doi:10.32322/jhsm.1858925.

Vancouver

1.Gökhan Taşkın, Eylem Ersan, Samet Kıyak. Clinical characteristics and factors associated with hospitalization in cases requiring obstetrics and gynecology consultation in a tertiary emergency department. J Health Sci Med / JHSM. 2026 May 1;9(3):596-602. doi:10.32322/jhsm.1858925