Letters First trimester miscarriage

Author’s reply to Vaughan

BMJ 2013; 347 doi: https://doi.org/10.1136/bmj.f4497 (Published 16 July 2013) Cite this as: BMJ 2013;347:f4497
  1. Davor Jurkovic, consultant gynaecologist1
  1. 1University College Hospital, London NW1 6BU, UK
  1. davor.jurkovic{at}uclh.nhs.uk

In answer to Vaughan’s question1 2: little evidence supports the practice of performing vaginal examinations to diagnose ectopic pregnancy. Vaginal examination has a low accuracy for differentiating between intrauterine and extrauterine pregnancies, and some authors have expressed concern that it could cause tubal rupture.3 Ruptured …

View Full Text

Sign in

Log in through your institution

Free trial

Register for a free trial to thebmj.com to receive unlimited access to all content on thebmj.com for 14 days.
Sign up for a free trial

Subscribe