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Vaginal bleeding in early pregnancy 

Vaginal bleeding in early pregnancy
Chapter:
Vaginal bleeding in early pregnancy
Author(s):

Rita Das

DOI:
10.1093/med/9780199654093.003.0006
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date: 24 October 2021

This chapter provides an overview of the challenges facing the emergency physician dealing with a patient who is bleeding in the early stages of pregnancy. It describes the importance of a detailed assessment in such patients and particularly highlights the importance of considering a diagnosis of ectopic pregnancy in all women of child-bearing age. The relatively rare diagnosis of heterotopic pregnancy is discussed.

It examines the evidence base for three key clinical questions: what the role may be for the emergency physician to perform in early pregnancy scanning in the emergency department; which patients with ectopic pregnancies can be treated conservatively; and what is the role of the emergency department in using anti-D in Rhesus-negative women in ectopic pregnancies.

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