Early Pregnancy Loss course for GPs
This session covers the assessment and management of women who present with vaginal bleeding and pelvic pain in early pregnancy and is illustrated through three separate cases.
This session was reviewed by Khyati Bakhai and last updated in July 2020.
Learning Objectives
By the end of this session you will be able to:
- Assess women who present with vaginal bleeding in early pregnancy
- Implement the different management options available to women undergoing a miscarriage
- Describe the management options for ectopic pregnancy
- Have an awareness of the psychological issues related to early pregnancy loss
Approximately 25% of women experience vaginal bleeding and/or abdominal pain in the first twelve weeks of pregnancy. It is not always an indication of a problem. However, pain and bleeding can sometimes be due to miscarriage, ectopic pregnancy or rarely a molar pregnancy. It is important for a GP to be able to assess a woman who is bleeding in early pregnancy and take appropriate action to rule out potentially life-threatening causes.
Mr Nilesh Agarwal has a specialist expertise in laparoscopy, menstrual disorders, emergency, and acute gynaecology. He has a strong belief in preventive care, holistic approach with minimal intervention and is experienced in Naturopathy.
Nilesh has won several international awards and fellowships including Alan Gordon Fellowship by British Society for Gynaecological Endoscopy (BSGE), Green-Armytage/Spackman Fellowship by RCOG, Fellowship of Federation of Obstetric and Gynaecological Societies (FOGSI). He is regularly invited to speak at conferences or invited as international faculty for his expert opinions.
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