First trimester complications

Prim Care. 2012 Mar;39(1):71-82. doi: 10.1016/j.pop.2011.11.004. Epub 2011 Nov 30.

Abstract

Vaginal bleeding, abdominopelvic pain, nausea, and vomiting are common presenting symptoms in early pregnancy. All women of reproductive age who present with abdominal or pelvic pain or with vaginal bleeding should be evaluated for possible pregnancy. There should be a high index of suspicion for ectopic pregnancy in women presenting with abdominal pain and bleeding after approximately 7 weeks of amenorrhea. Investigation for the cause of the bleeding should ensue. Gestational trophoblastic disease should be considered as a possible cause. Treatment options for nausea during pregnancy should be discussed with women with this common symptom.

Publication types

  • Review

MeSH terms

  • Abortion, Spontaneous
  • Abortion, Therapeutic
  • Female
  • Gestational Trophoblastic Disease
  • Humans
  • Hydatidiform Mole
  • Pregnancy
  • Pregnancy Complications / diagnosis*
  • Pregnancy Complications / prevention & control
  • Pregnancy Trimester, First*
  • Pregnancy, Ectopic
  • Risk Factors