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The gold standard for diagnosing a heterotopic pregnancy is the transvaginal ultrasound. However, the sensitivity of the transvaginal ultrasound for diagnosing a heterotopic pregnancy has been found to range from 26.3% to 92.4%. [5] Therefore, both clinical symptoms and ultrasound imaging are used to make the diagnosis.
Between 5% and 42% of women seen for ultrasound assessment with a positive pregnancy test have a pregnancy of unknown location, that is a positive pregnancy test but no pregnancy visualized at transvaginal ultrasonography. [5] Between 6% and 20% of pregnancy of unknown location are subsequently diagnosed with actual ectopic pregnancy. [5]
At early presentation of pregnancy at around 6 weeks, early dating ultrasound scan may be offered to help confirm the gestational age of the embryo and check for a single or twin pregnancy, but such a scan is unable to detect common abnormalities. Details of prenatal screening and testing options may be provided.
In anembryonic pregnancy, levels of the pregnancy hormone human chorionic gonadotropin (hCG) typically rise for a time, which can cause positive pregnancy test results and pregnancy symptoms such as tender breasts. [2] [7] Because of the presence of hCG, an ultrasound is typically necessary to diagnose an anembryonic pregnancy. [3]
Research shows that routine obstetric ultrasound before 24 weeks' gestational age can significantly reduce the risk of failing to recognize multiple gestations and can improve pregnancy dating to reduce the risk of labor induction for post-dates pregnancy. There is no difference, however, in perinatal death or poor outcomes for infants. [3]
Symptoms may include vision changes (seeing spots, blurriness, light sensitivity), a headache that won’t go away, shortness of breath, pain in your upper belly, nausea and/or vomiting, decreased ...
If it occurs before 37 weeks it is known as PPROM (preterm prelabor rupture of membranes) otherwise it is known as term PROM. [2] Treatment is based on how far along a woman is in pregnancy and whether complications are present. [2] In those at or near term without any complications, induction of labor is generally recommended. [2]
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