Episode 31: Bleeding in Early Pregnancy

Join Carla, Mel, and Anne on The Uterine Sound podcast as they navigate the complexities of early pregnancy bleeding. Whether you work in the Emergency Department, General Practice or an Early Pregnancy Clinic (or you're a curious listener), this episode is a must-listen for anyone seeking clarity in the fog of early pregnancy complications. Dive into Esmerelda's case, where crampy pain and light bleeding lead to a whirlwind of differential diagnoses. From ruptured ectopic pregnancies to threatened miscarriages, they leave no stone unturned. But when the diagnosis remains uncertain, they unravel the mysteries of Pregnancy of Unknown Location (PUL). With expert insights and practical advice, they guide listeners through history-taking, examinations, and crucial investigations. We discuss two of the most debated issues, whether a speculum is indicated and when that patient really needs her ultrasound. Learn how to decode serum bHCG levels and interpret ultrasound findings. Follow Esmerelda's journey as the team delves into risk stratification with the M6 model and the management of persistent PUL. Tune in to The Uterine Sound podcast for a comprehensive exploration of O&G's most pressing issues!