Document Detail

Delayed ultrasound in patients with abdominal pain and vaginal bleeding during the first trimester of pregnancy.
MedLine Citation:
PMID:  11554866     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: To determine if patients with abdominal pain and vaginal bleeding during the first trimester of pregnancy who have a low clinical likelihood of ectopic pregnancy are put at risk of adverse events by delaying ultrasonography 12-18 h after emergency department presentation. METHODS: A retrospective chart review of all surgically proven ectopic pregnancies at our Institution over a 2-year period. RESULTS: One hundred and seventeen cases of ectopic pregnancy were reviewed. Thirty-seven cases met predetermined criteria of 'clinical stability' at first presentation. These patients waited a median 14 h for diagnostic ultrasound with 62% waiting more than 12 h. No adverse events occurred while waiting for this diagnostic study. CONCLUSIONS: Preliminary results suggest that pregnant patients with abdominal pain and vaginal bleeding in the first trimester who meet specific low-risk clinical criteria could potentially have ultrasound delayed 12-18 h without risk of adverse event. Further prospective studies are warranted to confirm the safety of this strategy.
J N Hendry; Y Naidoo
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Emergency medicine (Fremantle, W.A.)     Volume:  13     ISSN:  1035-6851     ISO Abbreviation:  Emerg Med (Fremantle)     Publication Date:  2001 Sep 
Date Detail:
Created Date:  2001-09-13     Completed Date:  2001-12-04     Revised Date:  2005-02-07    
Medline Journal Info:
Nlm Unique ID:  9421464     Medline TA:  Emerg Med (Fremantle)     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  338-43     Citation Subset:  IM    
Department of Emergency Medicine, Waikato Hospital, Hamilton, New Zealand.
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MeSH Terms
Abdominal Pain / etiology,  ultrasonography*
Follow-Up Studies
Maternal Welfare
New Zealand / epidemiology
Predictive Value of Tests
Pregnancy Trimester, First
Pregnancy, Ectopic / complications,  ultrasonography
Retrospective Studies
Risk Factors
Time Factors
Uterine Hemorrhage / etiology,  ultrasonography*

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