scholarly journals Medical abortion at 13 or more weeks gestation provided through telemedicine: A retrospective review of services

2021 ◽  
Vol 3 ◽  
pp. 100057
Author(s):  
Nathalie Kapp ◽  
Kathryn Andersen ◽  
Risa Griffin ◽  
Amalia Puri Handayani ◽  
Marlies Schellekens ◽  
...  
2017 ◽  
Vol 44 (1) ◽  
pp. 54-57 ◽  
Author(s):  
Sarah Louise Millar ◽  
Sharon Tracey Cameron

BackgroundWe introduced a single-window low-sensitivity urine pregnancy test (LSPT) to replace a double-window LSPT (both 1000 IU hCG) for self-assessment of the outcome of early medical abortion (EMA) (≤63 days gestation) 2 weeks later. We wished to compare assessment of outcomes of EMA with each LSPT.MethodsA retrospective review of the outcomes of EMA during 10 months' use of the double-window LSPT and the subsequent 10 months' use of the single-window LSPT to compare (i) detection of ongoing pregnancies and (ii) false-positive and invalid results with each LSPT.Results492 and 555 women self-assessed the outcome of their EMA with the double- and single-window LSPTs, respectively. Ongoing pregnancies were uncommon and occurred in 4/1047 women (0.4%). Two of these four women did not conduct a LSPT as they presented before the LSPT was due with scant bleeding or continuing pregnancy symptoms. False-positive LSPT results occurred in 6 (1.2%) and 19 (3.4%) double- and single-window LSPT tests, respectively (P=0.0244). Invalid results were reported in 18 (3.6%) and 6 (1.1%) of double- and single-window LSPT groups, respectively (P=0.01).ConclusionThe introduction of the single-window LSPT has not impacted on the detection of ongoing pregnancy or on contact with the service due to a positive or invalid LSPT. Services could consider use of either LSPT but should also place emphasis on informing women about the clinical signs and symptoms that suggest failed abortion.


1987 ◽  
Vol 32 (9) ◽  
pp. 773-778 ◽  
Author(s):  
Richard L. Gorsuch ◽  
Bernard Spilka
Keyword(s):  

Author(s):  
Adam Lee ◽  
Adam Bajinting ◽  
Abby Lunneen ◽  
Colleen M. Fitzpatrick ◽  
Gustavo A. Villalona

AbstractReports of incidental pneumomediastinum in infants secondary to inflicted trauma are limited. A retrospective review of infants with pneumomediastinum and history of inflicted trauma was performed. A comprehensive literature review was performed. Three infants presented with pneumomediastinum associated with inflicted trauma. Mean age was 4.6 weeks. All patients underwent diagnostic studies, as well as a standardized evaluation for nonaccidental trauma. All patients with pneumomediastinum were resolved at follow-up. Review of the literature identified other cases with similar presentations with related oropharyngeal injuries. Spontaneous pneumomediastinum in previously healthy infants may be associated with inflicted injuries. Clinicians should be aware of the possibility of an oropharyngeal perforation related to this presentation.


Skull Base ◽  
2007 ◽  
Vol 17 (S 2) ◽  
Author(s):  
Federico Ampil ◽  
Cherie Nathan ◽  
Gloria Caldito ◽  
Anil Nanda ◽  
Timothy Lian

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