The optimal timing of an ultrasound scan to assess the location and viability of an early pregnancy

Bottomley, C.; Belle, Vanya Van; Mukri, F.; Kirk, E.; Huffel, Sabine Van; Timmerman, Dirk; Bourne, Tom

doi:10.1093/humrep/dep084

Cited by 76 publications

(44 citation statements)

References 20 publications

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“…Patients seen with or without symptoms and labelled as PUL were 112 (11.6%). 7 Depending upon the risk factors and clinical examination, individual assessment of the patient may reduce morbidity and mortality. Our study observed the outcome of the patients who presented with amenorrhea, bleeding per vaginum and pain abdomen in first trimester and initially labeled as having PUL.…”

Section: Resultsmentioning

confidence: 99%

Pregnancy of unknown location: outcome in a tertiary care teaching hospital

Sri

Kalpana

2017

Int J Reprod Contracept Obstet Gynecol

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Background: A pregnancy of unknown location (PUL) is a descriptive term used to classify a woman when she has a positive pregnancy test but no intra-or extra-uterine pregnancy is visualized on transvaginal sonography. The objective of present study was to find out the outcome of women with pregnancy of unknown location presenting to a tertiary care teaching hospital. Methods: The prospective study was conducted from from 1 st October 2015 to 31 st September 2016, to antenatal outpatient department, at Princess Esra Hospital, Deccan College of medical sciences, Hyderabad. Data was collected for women with early pregnancy or with history of amenorrhea, bleeding or pain. These women were investigated with serum beta-human chorionic gonadotrophin levels at interval of 48 hrs and transvaginal ultrasonography. Expectant management was done for failing pregnancy of unknown location while medical or surgical management was considered for persistent pregnancy of unknown location and ectopic pregnancy. Results: During study period, 9210 patients were admitted, and, of them, 960 (10.42%) were patients with early pregnancy. Meeting the inclusion criteria were 112 (11.6%) patients who formed the study sample. There were 104 (92.85%) patients presenting with amenorrhea, 98 (87.5%) had bleeding and 78 (69.64%) presented with pain. Outcome of 42 (48.83%) patients was failing pregnancy, 31 (36.04%) had intrauterine pregnancy, 8 (9.3%) converted to ectopic pregnancy, while 5 (5.81%) had persistent pregnancy of unknown location. All patients with persistent pregnancy of unknown location and 3 patients with ectopic pregnancy were medically treated. Three patients having an ectopic pregnancy were managed surgically. Conclusions: Management of choice for asymptomatic patients having pregnancy of unknown location is expectant management. Most of the patients suspected to have PUL resolved either into F-PUL or IUP with expectant management.

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Section: Resultsmentioning

confidence: 99%

Pregnancy of unknown location: outcome in a tertiary care teaching hospital

Sri

Kalpana

2017

Int J Reprod Contracept Obstet Gynecol

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“…The majority had a second more powerful reason of needing reassurance (Figs 6 and 7). 13 Here, it is necessary to point out that in our population, a huge emphasis is put on reproduction. This is reflected in that 90% of these patients knew their exact last menstrual period and only 7% have ever used contraception.…”

Section: Discussionmentioning

confidence: 99%

The Significance of Early Pregnancy Units in the Practice of a Busy Obstetric Unit

Abushama¹,

Almuhanadi²

2011

Donald School Journal of Ultrasound in Obstetrics and Gynecology

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A significant proportion of women experience bleeding in early pregnancy resulting in considerable distress. Early pregnancy unit (EPAU) should promote the sensitive and efficient management of women with early pregnancy problems and we believe this is best achieved by the establishment of a dedicated unit with dedicated staff. This paper outlines the experience of setting up an early pregnancy unit in a busy obstetrical unit.

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“…US should be deferred for these early presenters, particularly if they are asymptomatic. This is to avoid the conundrum of not being able to confi rm any of the objectives mentioned before and having to repeat the study (Bottomley et al 2009 ).…”

Section: Assessment Of Viabilitymentioning

confidence: 99%