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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.

quantitative β-HCG, serial β-HCG if relevant FBC, Coagulation Studies, UEC (if significant bleeding is present) Check Rhesus D antigen and antibody status if a negative blood group Consider history taken and if screening is required for blood borne and infectious diseases i.e. Chlamydia, Hep B/C, HIV Consider serum

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