Emergencies in Early Pregnancy

  • Nadia Huancahuari
    Correspondence
    Corresponding author. Department of Emergency Medicine, Brigham and Women’s Hospital, 75 Francis Street, Neville House, Boston, MA 02115.
    Affiliations
    Harvard Medical School, Boston, MA, USA

    Department of Emergency Medicine, Brigham and Women’s Hospital, 75 Francis Street, Neville House, Boston, MA 02115, USA
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      References

        • Deutchman M.
        • Tubay A.T.
        • Turok D.
        First trimester bleeding.
        Am Fam Physician. 2009; 79: 985-994
        • Harville E.W.
        • Wilcox A.J.
        • Baird D.D.
        • et al.
        Vaginal bleeding in very early pregnancy.
        Hum Reprod. 2003; 18: 1944-1947
        • Condous G.
        The management of early pregnancy complications.
        Best Pract Res Clin Obstet Gynaecol. 2004; 18: 37-57
        • Pelinescu-Onciul D.
        Subchorionic hemorrhage treatment with dydrogesterone.
        Gynecol Endocrinol. 2007; 23: 77-81
        • Norman S.M.
        • Odibo A.O.
        • Macones G.A.
        • et al.
        Ultrasound-detected subchorionic hemorrhage and the obstetric implications.
        Obstet Gynecol. 2010; 116: 311-315
        • Nama V.
        • Manyonda I.
        Tubal ectopic pregnancy: diagnosis and management.
        Arch Gynecol Obstet. 2009; 279: 443-453
        • Barnhart K.T.
        Clinical practice: ectopic pregnancy.
        N Engl J Med. 2009; 361: 379-387
        • Mukul L.V.
        • Teal S.B.
        Current management of ectopic pregnancy.
        Obstet Gynecol Clin North Am. 2007; 34: 403-419
        • Ankum W.M.
        • Mol B.W.
        • Van der Veen F.
        • et al.
        Risk factors for ectopic pregnancy: a meta-analysis.
        Fertil Steril. 1996; 65: 1093-1099
        • Alsuleiman S.A.
        • Grimes E.M.
        Ectopic pregnancy: a review of 147 cases.
        J Reprod Med. 1982; 27: 101-106
        • Hassani K.I.
        • Bouazzaoui A.E.
        • Khatouf M.
        • et al.
        Heterotopic pregnancy: a diagnosis we should suspect more often.
        J Emerg Trauma Shock. 2010; 3: 304
        • Gracia C.R.
        • Barnhart K.T.
        Diagnosing ectopic pregnancy: decision analysis comparing six strategies.
        Obstet Gynecol. 2001; 97: 464-470
        • Bradley W.G.
        • Fiske C.E.
        • Filly R.A.
        The double sac sign of early intrauterine pregnancy: use in exclusion of ectopic pregnancy.
        Radiology. 1982; 143: 223-226
      1. ACOG practice bulletin. Medical management of tubal pregnancy. Number 3, December 1998. Clinical management guidelines for obstetrician-gynecologists. American College of Obstetricians and Gynecologists.
        Int J Gynaecol Obstet. 1999; 65: 97-103
        • Sowter M.C.
        • Farquhar C.M.
        Ectopic pregnancy: an update.
        Curr Opin Obstet Gynecol. 2004; 16: 289-293
        • Lipscomb G.H.
        • McCord M.L.
        • Stovall T.G.
        • et al.
        Predictors of success of methotrexate treatment in women with tubal ectopic pregnancies.
        N Engl J Med. 1999; 341: 1974-1978
        • Jurkovic D.
        • Wilkinson H.
        Diagnosis and management of ectopic pregnancy.
        BMJ. 2011; 342: d3397
        • Cappell M.S.
        • Friedel D.
        Abdominal pain during pregnancy.
        Gastroenterol Clin North Am. 2003; 32: 1-58
        • Anastasakis E.
        • Jetti A.
        • Macara L.
        • et al.
        A case of heterotopic pregnancy in the absence of risk factors: a brief literature review.
        Fetal Diagn Ther. 2007; 22: 285-288
        • Woodfield C.A.
        • Lazarus E.
        • Chen K.C.
        • et al.
        Abdominal pain in pregnancy: diagnoses and imaging unique to pregnancy–review.
        AJR Am J Roentgenol. 2010; 194: WS14-WS30
        • Coppola P.T.
        • Coppola M.
        Vaginal bleeding in the first 20 weeks of pregnancy.
        Emerg Med Clin North Am. 2003; 21: 667-677
        • Paspulati R.M.
        • Bhatt S.
        • Nour S.G.
        Sonographic evaluation of first-trimester bleeding.
        Radiol Clin North Am. 2004; 42: 297-314
        • Dighe M.
        • Cuevas C.
        • Moshiri M.
        • et al.
        Sonography in first trimester bleeding.
        J Clin Ultrasound. 2008; 36: 352-366
        • Prine L.W.
        • MacNaughton H.
        Office management of early pregnancy loss.
        Am Fam Physician. 2011; 84: 75-82
        • Cho F.N.
        • Chen S.N.
        • Tai M.H.
        • et al.
        The quality and size of yolk sac in early pregnancy loss.
        Aust N Z J Obstet Gynaecol. 2006; 46: 413-418
        • Odeh M.
        • Tendler R.
        • Kais M.
        • et al.
        Gestational sac volume in missed abortion and anembryonic pregnancy compared to normal pregnancy.
        J Clin Ultrasound. 2010; 38: 367-371
      2. ACOG practice bulletin. Prevention of Rh D alloimmunization. Number 4, May 1999 (replaces educational bulletin number 147, October 1990). Clinical management guidelines for obstetrician-gynecologists. American College of Obstetrics and Gynecology.
        Int J Gynaecol Obstet. 1999; 66: 63-70
        • Urbaniak S.J.
        The scientific basis of antenatal prophylaxis.
        Br J Obstet Gynaecol. 1998; 105: 11-18
        • Jabara S.
        • Barnhart K.T.
        Is Rh immune globulin needed in early first-trimester abortion? A review.
        Am J Obstet Gynecol. 2003; 188: 623-627
        • Hannafin B.
        • Lovecchio F.
        • Blackburn P.
        Do Rh-negative women with first trimester spontaneous abortions need Rh immune globulin?.
        Am J Emerg Med. 2006; 24: 487-489
        • Goodwin T.M.
        Hyperemesis gravidarum.
        Obstet Gynecol Clin North Am. 2008; 35: 401-417
        • Niebyl J.R.
        Clinical practice. Nausea and vomiting in pregnancy.
        N Engl J Med. 2010; 363: 1544-1550
        • Tan P.C.
        • Omar S.Z.
        Contemporary approaches to hyperemesis during pregnancy.
        Curr Opin Obstet Gynecol. 2011; 23: 87-93
        • Sonkusare S.
        The clinical management of hyperemesis gravidarum.
        Arch Gynecol Obstet. 2011; 283: 1183-1192
        • Jarvis S.
        • Nelson-Piercy C.
        Management of nausea and vomiting in pregnancy.
        BMJ. 2011; 342: d3606
        • Lurain J.R.
        Gestational trophoblastic disease I: epidemiology, pathology, clinical presentation and diagnosis of gestational trophoblastic disease, and management of hydatidiform mole.
        Am J Obstet Gynecol. 2010; 203: 531-539
        • Hurteau J.A.
        Gestational trophoblastic disease: management of hydatidiform mole.
        Clin Obstet Gynecol. 2003; 46: 557-569
        • Seckl M.J.
        • Sebire N.J.
        • Berkowitz R.S.
        Gestational trophoblastic disease.
        Lancet. 2010; 376: 717-729
        • Soper J.T.
        Gestational trophoblastic disease.
        Obstet Gynecol. 2006; 108: 176-187
        • Berkowitz R.S.
        • Goldstein D.P.
        Clinical practice. molar pregnancy.
        N Engl J Med. 2009; 360: 1639-1645
        • Sebire N.J.
        • Seckl M.J.
        Gestational trophoblastic disease: current management of hydatidiform mole.
        BMJ. 2008; 337: a1193
        • Berkowitz R.S.
        • Goldstein D.P.
        Current management of gestational trophoblastic diseases.
        Gynecol Oncol. 2009; 112: 654-662
        • Pennick V.E.
        • Young G.
        Interventions for preventing and treating pelvic and back pain in pregnancy.
        Cochrane Database Syst Rev. 2007; (CD001139)
        • Malmqvist S.
        • Kjaermann I.
        • Andersen K.
        • et al.
        Prevalence of low back and pelvic pain during pregnancy in a Norwegian population.
        J Manipulative Physiol Ther. 2012; 35: 272-278