Tag Archives: early pregnancy

Is it possible to personalise the risk of miscarriage

Many women unfortunately have pain or bleeding in pregnancy – or attend for an ultrasound scan or assessment because they are anxious about their pregnancy. Often a scan is not conclusive – which naturally leads to even more anxiety. It … Continue reading

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Establishing symptoms scores for ectopic pregnancy

A French collaborative study has been published in the journal “Academic Emergency Medicine”. The authors set out to develop a symptom score to predict ectopic pregnancy rupture. The abstract can be read at:¬†http://www.ncbi.nlm.nih.gov/pubmed/22221975 They examined a number of different pain … Continue reading

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Fertility after an ectopic pregnancy

The two questions asked first by most women who have had an ectopic pregnancy are “how will this impact on my future fertility” and “what are the chances of me having an ectopic pregnancy in a future pregnancy”. A new … Continue reading

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Further evidence about the mechanism of miscarriage – failing to discriminate between healthy and unhealthy embryos

An important new paper has been published in relation to recurrent miscarriage (RM). Weimer et al have shown that there are differences in the migration patterns of endometrial stromal cells in women with and without a history of RM. In … Continue reading

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Epilepsy in pregnancy – sodium valproate safety

Epilepsy is a problem in pregnancy although in general women will not see an increase in seizure frequency. Looking at the literature the obstetric implications are not as clear-cut as one might think. However in general it has been thought … Continue reading

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Diet and exercise in pregnancy – BMJ paper shows value for intervention

I think everyone knows the old adage that pregnant women are “eating for two” is not only wrong but positively unhealthy. Yesterday in the British Medical Journal, Shakila Thangaratinam and colleagues published an analysis of papers designed to see if … Continue reading

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Morbidity from ectopic pregnancy is more likely to reflect the quality of care than anything else…

As trainee gynaecologists one of the first things we learnt is the idea that a women with pain/bleeding/almost any symptoms has an ectopic pregnancy until proved otherwise. Over time maybe this teaching has slipped. In a recent study from Nora … Continue reading

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People talk about natural killer (NK) cells in pregnancy: what do they mean?

Women who have had a miscarriage often read widely on the internet to try to understand what may have been the reason it happened. It is highly likely that they will find something about the possible role of NK cells … Continue reading

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How are tubal ectopic pregnancies treated?

  Like people, every ectopic pregnancy is different and so not all treatments are appropriate for all ectopic pregnancies. In general terms the treatment can be divided into three approaches: Expectant management where no treatment is given and we wait … Continue reading

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Why do they do internal (vaginal) scans not abdominal ones?

Most scans carried out for a gynaecological indication or in early pregnancy (less than 10 weeks) are carried out using a vaginal probe and we are often asked why this is the case – why not do them abdominally and … Continue reading

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