Letters NICE on ectopic pregnancy and miscarriage

Authors’ reply to Bourne and colleagues

BMJ 2013; 346 doi: http://dx.doi.org/10.1136/bmj.f238 (Published 22 January 2013) Cite this as: BMJ 2013;346:f238
  1. Mary Ann Lumsden, professor of gynaecology and medical education and honorary consultant gynaecologist1,
  2. Emma Newbatt, research associate2,
  3. Zosia Beckles, information scientist2,
  4. Roz Ullman, senior research fellow and clinical lead (midwifery)2
  5. On behalf of the guideline development group
  1. 1University of Glasgow, Glasgow G4 0SF, UK
  2. 2National Collaborating Centre for Women’s and Children’s Health, London W1T 2QA, UK
  1. rullman{at}ncc-wch.org.uk

In response to Bourne and colleagues’ comments1:

  • 1 The guideline development group (GDG) recommended that women with a pregnancy of uncertain gestation, in pain, or at greater than six weeks’ gestation be referred to an early pregnancy service. We felt that immediately referring all women with bleeding but no pain at less than six weeks’ gestation would result in unnecessary and uninformative scans, but agreed that women with continuing or worsening symptoms should be referred to exclude ectopic pregnancy. The recommendation that most women see another clinician before …

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