Interactive Session - Society for Reproductive Endocrinology and Infertility - A Nonviable Early Pregnancy, When and How Do You Intervene
Time:1:15 pm - 2:15 pm
Location:Room 5 - San Diego Convention Center
Kurt T. Barnhart, M.D. (Chair), University of Pennsylvania
Mary D. Stephenson, M.D., M.Sc., University of Chicago Pritzker School of Medicine
Ruth B. Lathi, M.D., Stanford University
A Nonviable Early Pregnancy, When and How Do You Intervene
Needs Assessment and Description
Up to one-third of all conceptions end in miscarriage or
ectopic pregnancy. Recognizing when pregnancies will no
longer progress as an ongoing pregnancy, and when to
intervene, is a common but often difficult clinical decision.
This live course will provide information to help a clinician
make the diagnosis of a nonviable gestation and if (or
when) medical or surgical intervention is necessary.
At the conclusion of this session, participants should be able
- Examine the need and the methods to distinguish
between a viable and nonviable early pregnancy.
- Appraise the possible advantages and pitfalls of medical
management of miscarriage and ectopic pregnancy.
A woman with a history of 2 first-trimester losses presents 6.5
weeks after her last menstrual period with moderate cramps
and vaginal bleeding. She has a positive pregnancy test
and an ultrasound that identifies an 8-mm hypoechogenic
structure in the uterine cavity, without a yolk sac or fetal
pole. After participating in this session, in my practice I will
diagnose and treat this patient as follows:
- She has an ongoing intrauterine pregnancy and should
be referred for prenatal care.
- She has a third first-trimester loss and can be treated
- She has an ectopic pregnancy and can be treated with
- She has a probable intrauterine pregnancy and should
be followed up with serial ultrasound.
- She has a third miscarriage and should be treated with
uterine evacuation to obtain chromosomes.
- Not applicable to my area of practice.