Clinical Case Database / Category: Teaching and Training

Early pregnancy unit: management options

Publication details

Saira Sadiq, MBBS, BSc, MCPS, A N Eronini, MRCOG, Fadi Alfhaily, MBChB, MSc, DFFP, MRCOG, MA Khaled, FRCOG, PhD
Foundation Years Journal, volume 5, issue 5, p.41 (123Doc Education, London, June 2011)


In recent years there has been growing interest in defining standardized management algorithms for women with early pregnancy problem, with more treatment as an outpatient basis and the development of more refined diagnostic techniques and therapeutic interventions.

Access the Clinical Cases Database

A subscription is required to read the full article. Please subscribe using one of the options below.

Foundation Years Clinical Cases Database£29.006 months
Add to cart
Foundation Years Clinical Cases Database£39.0012 months
Add to cart


Saira Sadiq, MBBS, BSc, MCPS

Specialty Trainee in Obstetrics and Gynaecology
Colchester Hospital University
NHS Foundation Trust

A N Eronini, MRCOG

Associate Specialist in Obstetrics and Gynaecology
Colchester Hospital University
NHS Foundation Trust

Fadi Alfhaily, MBChB, MSc, DFFP, MRCOG

Consultant Obstetrician and Gynaecologists,
Colchester Hospital University
NHS Foundation Trust

MA Khaled, FRCOG, PhD

Consultant Obstetrician and Gynaecologist, Director of Education,
Colchester Hospital University
NHS Foundation Trust


1. Royal College of Obstetricians and Gynaecologists publications. The Management of Early pregnancy Loss: Green-top Guideline No. 25; October 2006.
2. The Association of Early Pregnancy Units. AEPU Guidelines - 2007. Retrieved on line on 14/12/2010.
3. Alfhaily F., Whitlow B. Laparoscopic removal of a large 8cm ectopic pregnancy with a negative pregnancy test. Gynecol Surg 2008 (Published online).
4. Basama FMS Audit: Women’s perception of transvaginal sonography in an early pregnancy assessment unit. J Obstet Gynecol 2001;21:603–04.
5. Hinshaw K. The management of early pregnancy loss. RCOG Greentop Guideline. October 2006. RCOG Press, London. (
6. Royal College of Obstetricians and Gynaecologists. Guidance on ultrasound procedures in Early Pregnancy. Standing joint committee on obstetric ultrasound of RCR/RCOG. 1995.
7. Philipp T., Philipp K., Reiner A., et al. Embryosopic and cytogenetic analysis of 233 missed abortions: factors involved in the pathogenesis of developmental defects of early pregnancies.
Hum Reprod, 2003, 18, 1724–32.
8. Trinder J., Brocklehurst P., Porter R., et al. Management of miscarriage: expectant, medical, or surgical? Results of randomised controlled trial (miscarriage treatment (MIST) trial). BMJ
2006;332(7552): 1235–38.


Conflict Of Interest

The Journal requires that authors disclose any potential conflict of interest that they may have. This is clearly stated in the Journal’s published “Guidelines for Authors”. The Journal follows the Guidelines against Conflict of Interest published in the Uniform Requirements for Manuscripts Submitted to Biomedical Journals (

Financial Statement

The authors of this article have not been paid. The Journal is financed by subscriptions and advertising. The Journal does not receive money from any other sources. The decision to accept or refuse this article for publication was free from financial considerations and was solely the responsibility of the Editorial Panel and Editor-in-Chief.

Patient Consent statement

All pictures and investigations shown in this article are shown with the patients’ consent. We require Authors to maintain patients’ anonymity and to obtain consent to report investigations and pictures involving human subjects when anonymity may be compromised. The Journal follows the Guidelines of the Uniform Requirements for Manuscripts ( The Journal requires in its Guidelines for Authors a statement from Authors that “the subject gave informed consent”.

Animal & Human Rights

When reporting experiments on human subjects, the Journal requires authors to indicate whether the procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the HelsinkiDeclaration of 1975, as revised in 2008.

About the Clinical Cases Database

T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

The database is fully searchable, or can be browsed by medical specialty. Abstracts can be read free of charge, however a subscription is required in order to read the complete cases.