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Review
. 2024 Oct 14;196(34):E1162-E1168.
doi: 10.1503/cmaj.231489.

Diagnosis and management of early pregnancy loss

Vrati M Mehra  1 , Salwa Farooqi  1 , Pallavi Sriram  1 , Modupe Tunde-Byass  2
Affiliations
Review

Diagnosis and management of early pregnancy loss

Vrati M Mehra et al. CMAJ. .

Erratum in

No abstract available

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Conflict of interest statement

Competing interests:: Vrati Mehra is the vice-president of Women’s Education Made Simple. No other competing interests were declared.

Figures

Figure 1:
Figure 1:
Diagnosis of early pregnancy loss. *Quantitative β-human chorionic gonadotropin (β-hCG) is preferred if available, but qualitative or urine β-hCG can be used if a quantitative measure is unavailable. †Patient should be offered patient-centred compassionate treatment and resources in the community. ‡The ratio of repeat β-hCG to initial β-hCG can stratify risk of ectopic pregnancy and will determine the need and timing of serial ultrasonography. See Related Content tab for accessible version. Note: CBC = complete blood count, EPL = early pregnancy loss, POCUS = point-of-care ultrasonography, US = ultrasonography.
Figure 2:
Figure 2:
Communicating suspected or confirmed diagnosis of early pregnancy loss. See Related Content tab for accessible version. Adapted from the Provincial Council for Maternal and Child Health (www.pcmch.on.ca).
See this image and copyright information in PMC

Comment in

References

    1. American College of Obstetricians and Gynecologists’ Committee on Practice Bulletins — Gynecology. ACOG Practice Bulletin No. 200: Early pregnancy loss. Obstet Gynecol 2018;132:e197–207. doi:10.1097/AOG.0000000000002899. - DOI - PubMed
    1. Quenby S, Gallos ID, Dhillon-Smith RK, et al. . Miscarriage matters: the epidemiological, physical, psychological, and economic costs of early pregnancy loss. Lancet 2021;397:1658–67. - PubMed
    1. Wilcox AJ, Weinberg CR, O’Connor JF, et al. . Incidence of early loss of pregnancy. N Engl J Med 1988;319:189–94. - PubMed
    1. Strumpf E, Lang A, Austin N, et al. . Prevalence and clinical, social, and health care predictors of miscarriage. BMC Pregnancy Childbirth 2021;21:185. - PMC - PubMed
    1. Varner CE, Park AL, Little D, et al. . Emergency department use by pregnant women in Ontario: a retrospective population-based cohort study. CMAJ Open 2020;8:E304–12. - PMC - PubMed

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