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Pregnancy: First Trimester Complications

King Edward Memorial Hospital Obstetrics & Gynaecology CLINICAL PRACTICE GUIDELINE. Pregnancy care: First Trimester Complications This document should be read in conjunction with the Disclaimer Contents Complications (early pregnancy): Assess / diagnose .. 3. Assessment .. 3. Bleeding / pain algorithm (early pregnancy) .. 7. Bleeding (vaginal) and a viable intrauterine 8. Procedure .. 8. Early gestational sac: Management of .. 10. Ultrasound features of EGS .. 11. Management .. 11. Gestational Trophoblast Disease / Hydatidiform mole .. 12. Risk factors .. 13. Classification .. 14. Pre-malignant trophoblast disease .. 14. Malignant Trophoblast Disease .. 15. Management of 16. GTD follow up flowchart .. 21. Absence of chorionic villi in products of conception &. negative laparoscopy .. 22. Nausea and vomiting in pregnancy / hyperemesis gravidarum .. 23. Hyperemesis: Management in the 31. Page 1 of 60. Pregnancy: First Trimester Complications Ectopic pregnancy.

Incidence rates for ectopic pregnancy are between 1 in 200-500 pregnancies5. Gestational trophoblastic disease or molar pregnancy is rare occurring between 1 in 1000 pregnancies but is important to consider in assessment5. Support, follow up and access to counselling is an important part of care for women who experience pregnancy loss.

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