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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.
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]
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]
My amniotic fluid was still at a healthy level and my cervix measured well, which typically would have been a blessing at 34 weeks pregnant with twins. However, it meant that my body wasn’t ...
The term cryptic pregnancy is used by medical professionals to describe a pregnancy that is not recognized by the woman who is pregnant until she is in labor or has given birth. [1] The term is also used online for a special form of false pregnancy (pseudocyesis), or delusion of pregnancy, in which a woman who has no medical verification of ...
Although described as "morning sickness," pregnant women can experience this nausea any time of day or night. The exact cause of morning sickness remains unknown. Nausea and vomiting in pregnancy is typically mild and self-limited, resolving on its own by the 14th week of pregnancy. Other causes should also be ruled out when considering treatment.
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