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Review
. 2006 Oct;20(5):729-50.
doi: 10.1016/j.bpobgyn.2006.04.001. Epub 2006 Jul 7.

Emergency gynaecology

S R Ramphal  1 , J Moodley
Affiliations
Review

Emergency gynaecology

S R Ramphal et al. Best Pract Res Clin Obstet Gynaecol. 2006 Oct.

Abstract

The management of gynaecological emergencies is directed at the preservation of life, health, sexual function and the perpetuation of fertility. Ectopic pregnancy (EP), pelvic inflammatory disease (PID) and miscarriages are common gynaecological emergencies and early recognition and appropriate treatment is essential to avoid unwanted sequelae. Controversy will always exist in clinical medicine because management is mainly based on uncontrolled studies, expert opinion and personal experiences. It is estimated that only 10% of clinical treatments have been validated by prospective, randomised trials. Recent advances have led to earlier diagnosis and more conservative treatment on an outpatient or day care basis in EP and miscarriages.

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