By Thomas H. Bourne, George Condous

Difficulties in early being pregnant are one of the commonest stipulations in gynecology and - with administration turning into much less invasive and based extra on exact ultrasound and an outstanding figuring out of serum biochemistry - many nations now suggest that each one maternity devices have an early being pregnant part devoted to handling those stipulations. as well as this, the topic can be a necessary a part of the learning syllabus within the speciality of maternal-fetal drugs. guide of Early being pregnant Care is a realistic advisor for the administration of at-risk early being pregnant. The chapters are concise, well-illustrated and include determination timber for the administration of every situation. targeting functional administration, not only study, this useful textual content could be priceless within the medical institution, as individuals are inspired to inform the readers what to do in severe events. protecting key issues and containing illustrative case stories, this guide is appropriate to trainees in maternal-fetal medication and obstetrics, to boot asnurses and sonographers who see many at-risk sufferers within the early phases of being pregnant.

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Ectopic pregnancy deaths: what should we be doing? Hosp Medicine 2004; 65:657–60 Ludwig M, Kaisi M, Bauer O, et al. Heterotopic pregnancy in a spontaneous cycle: do not forget about it! Eur J Obstet Gynecol Reprod Biol 1999; 87:91–3. Sieroszewski P, Suzin J, Bernaschek G, et al. Evaluation of first trimester pregnancy in cases of threatened abortion by means of doppler sonography. Ultraschall 2001; 22:208–12. ch03 14/7/06 2:54 pm Page 26 26 HANDBOOK OF EARLY PREGNANCY CARE 20. Luise C, Jermy K, Collins WP, et al.

Conclusions • Practical points INTRODUCTION Miscarriage is a term often used interchangeably with complete miscarriage by the lay public and even medical professionals. A better term for the healthcare professional involved in an Early Pregnancy Unit is ‘early pregnancy failure’. Any chapter entitled ‘The diagnosis of miscarriage’ has to begin with some housekeeping by defining varying terms that are often confused. The definitions used in clinical practice are unsatisfactory and need to be rationalized.

Atri M, Valenti DA, Bret PM, et al. Effect of transvaginal sonography on the use of invasive procedures for evaluating patients with a clinical diagnosis of ectopic pregnancy. J Clin Ultrasound 2003; 31:1–8. Hajenius PJ, Engelsbel S, Mol BW, et al. Randomised trial of systemic methotrexate versus laparoscopic salpingostomy. Lancet 1997; 350:774–9. Korhonen J, Stenman UH, Ylostalo P. Serum human chorionic gonadotropin dynamics during spontaneous resolution of ectopic pregnancy. Fertil Steril 1994; 61:632–6.

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