Even in urban centres, patients and The introduction of a new first-trimester screening tool pro- p roviders report difficulty in accessing radiologist-interpreted vides an opportunity to critically examine the provision of early ultrasonography in early pregnancy; lack of timely access to pregnancy care in Canada. [...] The proportion of people without ultra sonography contributes to first-trimester use of the emer- adequate prenatal care has risen over the last decade,3 and 1 in gency department.13 Alarmingly, in Ontario, 4 in 5 people with 5 pregnant people miss the window of opportunity for first- symptoms of pregnancy loss seek care in an emergency depart- trimester genetic screening, especially in rural are. [...] Once exceeds the current capacity of obstetricians and midwives to screening is complete, people in early pregnancy will need to replace the attrition of family physicians. [...] Hence, accessible or shortly after pregnancy,8 and the inability to access stream- and unambiguous guidance for providers to counsel patients lined early pregnancy care is likely a major contributor.9 who screen positive is paramount, as a patient’s lack of know- Because maternal morbidity from preeclampsia is increas- ledge about the benefits of ASA and the risks of preeclampsia ingly common,10 t. [...] Health anxiety and oppressive support: teams that are readily accessible and navigable in early preg- their impact on decisions for non-urgent use of the emergency department of nancy and that are equipped to manage early complications, obstetrics and gynecology.
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