Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
  1. Home
  2. Search

Refine search

Refine search

Access:
Content type:
Publication date:
Apply   From and To filters
Subject: Show more
Journals Show more
Publishers: Show more
Societies Show more
Series: Show more
Collections: Show more

Actions for selected content:

Select all | Deselect all
  • View selected items
  • Export citations
  • Download PDF (zip)
  • Save to Kindle
  • Save to Dropbox
  • Save to Google Drive

Save Search

You can save your searches here and later view and run them again in "My saved searches".

Please provide a title, maximum of 40 characters.
Cancel
×

2 results

  • Chapter 10 - Optimal Management of the First Trimester in Women over 40

  • from Section 6 - Obstetric Management beyond 40
  • Edited by Dimitrios S. Nikolaou, David B. Seifer
  • Book:
    Optimizing the Management of Fertility in Women over 40
    Published online:
    15 September 2022
    Print publication:
    06 October 2022, pp 119-130

  • Summary

    Women over the age of 40 years are at a higher risk of early pregnancy complications such a miscarriage or ectopic pregnancy. They are also more likely to have pre-existing medical conditions which further increase their risk of early pregnancy pathology, for example, previous pelvic inflammatory disease leading to a tubal ectopic, or uncontrolled diabetes increasing the risk of a miscarriage. Women in this age group are also more likely to have conceived through fertility treatment, and may present with complications of this, such as multiple pregnancy or ovarian hyperstimulation syndrome. A woman’s history of assisted reproductive technology and pre-existing subfertility is significant not only in accurately dating the pregnancy but also with regards to the psychological impact in case of a poor outcome. Early pregnancy units have become well established in most hospitals as a dedicated department providing specialist early pregnancy care. This chapter provides an overview of the optminal management of the first trimester of pregnancy for women over 40 and the management of the common conditions.

  • 12 - Organisation of the early pregnancy unit

  • Edited by Davor Jurkovic, Lil Valentin, Sanjay Vyas
  • Book:
    Gynaecological Ultrasound in Clinical Practice
    Published online:
    05 February 2014
    Print publication:
    01 June 2009, pp 133-142

  • Summary

    Early pregnancy complications are one of the most common reasons for women of reproductive age seeking medical help. Many pregnancies are complicated by pain and/or bleeding, which often causes concern because of a perceived risk of miscarriage. A comprehensive service with easy and fast access needs to be provided for women in early pregnancy. An initial assessment to reach a correct diagnosis is carried out, and diagnostic tests are instigated. Follow-up is vital, and for those women who have suffered pregnancy loss, offering counselling and support is another important role for an early pregnancy unit. With the advent of computer databases, a paperless clinic can be a key element in the efficient running of an early pregnancy unit. It is important that the unit has multidisciplinary and trained staff, access to laboratory tests, a gynaecology ward and operating theatre, in case of direct admissions, and facilities for resuscitation.