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Chapter 24 - Early Pregnancy

Published online by Cambridge University Press:  03 June 2019

Jane A. Stewart
Affiliation:
Newcastle Hospitals NHS Foundation Trust
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Summary

Early pregnancy problems are common and cause significant physical and psychological morbidity and mortality. Miscarriage is thought to affect one in five pregnancies and ectopic pregnancy to occur in 1 in 100 gestations though these rates are higher in pregnancies resulting from assisted reproductive techniques (ART) than in spontaneous pregnancies. According to the third annual report of the Confidential Enquiry into Maternal Deaths by MBRRACE-UK, in 2009–2014, 12 women died from early pregnancy-associated causes [1]. Nine of these women died as a direct result of an ectopic pregnancy and three women died following termination or attempted termination of pregnancy. In the triennium 2012–2014, the maternal mortality rate due to early pregnancy problems was 0.29 per 100,000 maternities.

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