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Complete miscarriage? Rule out ectopic pregnancy: monitor HCG levels closely.(Obstetrics)

OB GYN News

| November 01, 2003 | Tucker, Miriam E. | COPYRIGHT 2003 International Medical News Group. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan.  All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)Copyright

PARIS -- Ectopic pregnancies may be present in up to 6% of women who appear to have had a complete miscarriage based on history and ultrasound findings, Dr. George Condous said at the 13th World Congress on Ultrasound in Obstetrics and Gynecology.

Hormonal follow-up is essential. Women whose HCG levels do not fall within 48 hours should be monitored closely until the location of the pregnancy is confirmed, regardless of endometrial thickness, advised Dr. Condous of St. George's Hospital, London.

In an ongoing prospective observational study, serum HCG levels were obtained at presentation and again at 48 hours in 254 women who appeared to have had complete miscarriages based on a history of heavy bleeding with clots, and an endometrial thickness of less ...

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