TY  - CHAP
M1  - Book, Section
TI  - Early Miscarriage
A1  - Rees, Margaret
A1  - Hope, Sally
A1  - Oehler, Martin K
A1  - Moore, Jane
A1  - Crawford, Polly
Y1  - 2018
N1  - 
T2  - Problem Solving in Women's Health
AB  - A  39-year-old  woman  with  three  children  has  been  using  the  progesterone-only  pill  for  contraception  for  two  years.  She  has  not  missed  any  pills  but  feels  unmistakably  pregnant.  With  this  form  of  contraception,  her  periods  are  usually  irregular  but  she  has  had  no  bleeding  for  eight  weeks.  She  now  has  bleeding  like  a  period  and  also  mild  constant  pain  in  her  right  iliac  fossa.  A  pregnancy  test  is  positive.  An  ultrasound  scan  reveals  an  empty  uterus  with  a  thin  endometrium  and  normal  adnexae  with  no  free  fluid.  Serum  human  chorionic  gonadotrophin  (hCG)  level  is  215  IU/l.  Repeat  serum  hCG  48  hours  later  is  49  IU/l.How  can  one  distinguish  an  ectopic  pregnancy  from  an  early  intrauterine  pregnancy  or  from  a  complete  miscarriage?What  treatment  options  are  open  to  her  once  a  diagnosis  is  made?What  advice  should  be  given  to  women  following  a  miscarriage?  
SN  - 
PB  - Clinical Publishing
CY  - New York, NY
Y2  - 2021/01/27
UR  - hemonc.mhmedical.com/content.aspx?aid=1152372477
ER  -