Skip to main content Accessibility help
×
Home
Hostname: page-component-888d5979f-fn8p7 Total loading time: 0.279 Render date: 2021-10-25T21:24:11.951Z Has data issue: true Feature Flags: { "shouldUseShareProductTool": true, "shouldUseHypothesis": true, "isUnsiloEnabled": true, "metricsAbstractViews": false, "figures": true, "newCiteModal": false, "newCitedByModal": true, "newEcommerce": true, "newUsageEvents": true }

12 - Organisation of the early pregnancy unit

Published online by Cambridge University Press:  05 February 2014

Emma Sawyer
Affiliation:
King's College Hospital
Davor Jurkovic
Affiliation:
University College Hospital
Davor Jurkovic
Affiliation:
University College Hospital, London
Lil Valentin
Affiliation:
Malmö University Hospital
Sanjay Vyas
Affiliation:
Southmead Hospital, Bristol
Get access

Summary

Introduction

Early pregnancy complications are one of the most common reasons for women of reproductive age seeking medical help. Many pregnancies are complicated by pain and/or bleeding, which often causes concern because of a perceived risk of miscarriage or ectopic pregnancy. Around 40% of biochemical and clinical pregnancies may result in miscarriage and bleeding complicates around 21% of clinically detected pregnancies. There are many other symptoms which may also cause concern to pregnant women, such as hyperemesis, loss of pregnancy symptoms and gastrointestinal problems.

In the past, a woman with early pregnancy complications would first have to seek advice from her general practitioner or self refer to the accident and emergency (A&E) department in a local hospital. In A&E, early pregnancy problems would often be treated as a low priority and it was not unusual for women to spend many hours waiting to be treated. A&E departments have limited access to diagnostic and laboratory services and many women in the past had been admitted for inpatient investigations.

A significant change has occurred in the management approach to early pregnancy complications. In the past, surgery was considered necessary for both the diagnosis and treatment of early pregnancy complications. It has now been recognised that the majority of miscarriages and a significant proportion of ectopic pregnancies could be managed conservatively. Conservative management, however, requires sophisticated diagnostic facilities and a robust follow-up structure, which is not available in emergency departments.

Type
Chapter
Information
Gynaecological Ultrasound in Clinical Practice
Ultrasound Imaging in the Management of Gynaecological Conditions
, pp. 133 - 142
Publisher: Cambridge University Press
Print publication year: 2009

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Send book to Kindle

To send this book to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle.

Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Send book to Dropbox

To send content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about sending content to Dropbox.

Available formats
×

Send book to Google Drive

To send content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about sending content to Google Drive.

Available formats
×