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Chapter-33 Pregnancy of Unknown Location

BOOK TITLE: Practical Guide to Infertility

Author
1. Mittal Bhavana
2. Goyal Poonam
ISBN
9789352704828
DOI
10.5005/jp/books/18068_34
Edition
1/e
Publishing Year
2018
Pages
9
Author Affiliations
1. Pushpanjali Institute of IVF and Infertility, Ghaziabad, Uttar Pradesh, India, Shivam IVF and Infertility Centre, New Delhi, Consultant, Max Super Speciality Hospital, New Delhi, India, Shivam IVF and Infertility Centre, New Delhi; Max Super Speciality Hospital, New Delhi, India, Shivam IVF and Infertility Centre, New Delhi, India, Shivam IVF Centre, Delhi, India, Shivam Surgical and Maternity Centre, Delhi, India, Pushpanjali Institute of IVF and Infertility, Shivam Surgical and Maternity Center, New Delhi, India, Shivam Surgical and Maternity Centre, Delhi, Pushpanjali Institute of IVF and Infertility, Ghaziabad, Uttar Pradesh, India, Pushpanjali Institute of IVF and Infertility, New Delhi, India, Ruby Hall Clinic, Pune, Maharashtra India
2. Max Super Speciality Hospital, Vaishali, Uttar Pradesh, India, Panchsheel Hospital, New Delhi, Max Super Speciality Hospital, Vaishali, Ghaziabad, Uttar Pradesh, Max Superspecialty Hospital, New Delhi, India, Panchsheel Hospital, New Delhi; Max Super Speciality Hospital, Ghaziabad, Uttar Pradesh, India, Panchsheel Hospital, New Delhi, Head, IVF Unit Max Super Speciality Hospital Ghaziabad, Uttar Pradesh, India, Max Hospital, Ghaziabad, Uttar Pradesh, Indial Panchsheel Hospital, New Delhi, India, IVF and Infertility Max Hospital; Vaishali; Panchsheel Hospital, Delhi, India
Chapter keywords
Pregnancy, PUL, intrauterine pregnancy, IUP, in-vitro fertilization, IVF, intrauterine contraceptive device, IUCD, human chorionic gonadotropin, hCG, ultrasonography

Abstract

The term pregnancy of unknown location is a descriptive term which literally means a pregnancy whose possible location is not identified. Pregnancy in itself is a very efficient process provided it grows in its assigned place, uterus. Uterus is the only organ in female body which can enlarge it to accommodate baby and involutes later to its original size. When pregnancy grows somewhere else it can lead to many complications, there is lot of maternal morbidity and mortality associated if not tackled in time. Focus is not on localization of pregnancy, but on timely management of patient. This chapter covers the human chorionic gonadotropin levels and early pregnancy, role of ultrasound, ultrasound verses other imaging diagnostic modalities, possible outcomes of pregnancy of unknown locations, managing pregnancy of unknown locations, another marker for assessing wellbeing of pregnancy, and new markers for helping diagnosis of pregnancy of unknown location.

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