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Early Pregnancy Complications

  • Kayla DeweyEmail author
  • Kathryn Voss
  • Carolyn Phillips
Chapter

Abstract

Pregnant patients often present to the emergency department with chief complaints of abdominal pain and/or vaginal bleeding in the first trimester. Complications of early pregnancy are common and include miscarriage and ectopic and heterotopic pregnancy. Missing a life-threatening diagnosis such as ectopic pregnancy is fraught with risk to both patient and provider. The reliability of the discriminatory zone, used to aide in the diagnosis of early pregnancy complications, has recently been called into question. Assisted reproductive technologies to achieve pregnancy are also becoming increasingly common and present unique diagnostic challenges. Emergency physicians must be prepared to evaluate and manage the various complications of early pregnancy.

Keywords

First trimester Vaginal bleeding Ectopic pregnancy Pregnancy of unknown location Discriminatory zone Transvaginal ultrasound Heterotopic pregnancy Assisted reproductive technology Ovarian hyperstimulation syndrome 

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Copyright information

© Springer International Publishing AG 2017

Authors and Affiliations

  1. 1.Department of Emergency MedicineMedStar Washington Hospital Center and MedStar Georgetown UniversityWashington, DCUSA

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