| Do we need to follow up complete miscarriages with serum human chorionic gonadotrophin levels? | |
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MedLine Citation:
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PMID: 15924545 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Despite a history of heavy vaginal bleeding with clots, a proportion of women diagnosed with complete miscarriage, using transvaginal sonography (TVS), have an underlying ectopic pregnancy (EP). We evaluated the need for hormonal follow up in women with history and scan findings suggestive of complete miscarriage. One hundred and fifty-two consecutive women with findings suggesting complete miscarriage at presentation based on their history and TVS were presented to the Early Pregnancy Unit. Serum human chorionic gonadotrophin (hCG) levels were taken at presentation and 48 hours. All women were followed up until hCG was <5 u/L or a pregnancy was visualised on TVS either inside or outside the uterus. Overall, 9 (5.9%) of 152 women with an apparent complete miscarriage had an underlying EP. A diagnosis of complete miscarriage based on history and scan findings alone is unreliable. These women should be managed as 'pregnancies of unknown location' with serum hCG follow up. |
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Authors:
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G Condous; E Okaro; A Khalid; T Bourne |
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Publication Detail:
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Type: Evaluation Studies; Journal Article |
Journal Detail:
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Title: BJOG : an international journal of obstetrics and gynaecology Volume: 112 ISSN: 1470-0328 ISO Abbreviation: BJOG Publication Date: 2005 Jun |
Date Detail:
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Created Date: 2005-05-31 Completed Date: 2005-07-18 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100935741 Medline TA: BJOG Country: England |
Other Details:
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Languages: eng Pagination: 827-9 Citation Subset: AIM; IM |
Affiliation:
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Early Pregnancy, Gynaecological Ultrasound and Minimal Access Surgery Unit, Department of Obstetrics and Gynaecology, St George's Hospital Medical School, London, UK. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Abortion, Spontaneous
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diagnosis* Adolescent Adult Chorionic Gonadotropin, beta Subunit, Human / blood* Female Follow-Up Studies Humans Middle Aged Pregnancy Pregnancy, Ectopic / diagnosis* |
| Chemical | |
Reg. No./Substance:
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0/Chorionic Gonadotropin, beta Subunit, Human |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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