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Our Service
The Women's Ultrasound Centre is able to provide rapid access to diagnostic tests for women with complications of early pregnancy (i.e. from conception to 14 weeks of pregnancy). We provide scanning facilities immediately at the time of consultation and interpretation of serum levels of the pregnancy hormone hCG and progesterone. The nature of these problems is such that they tend to occur without warning. Hence we run a same day service. We also are able to treat all problems that may occur in early pregnancy including the expectant, medical and surgical management of miscarriage and ectopic pregnancy.
Common reasons for assessment
- Unexplained bleeding in early pregnancy
- Lower abdominal pain in early pregnancy
- Severe nausea and vomiting in early pregnancy
- Possible miscarriage or ectopic pregnancy (tubal pregnancy)
- Reassurance following a previous miscarriage or ectopic pregnancy
- To date a pregnancy and check for the presence of a heartbeat
- To determine the number of foetuses
Information we would like you to bring
- The date of the first day of your last menstrual period and whether it was unusually light or heavy
- Whether you are pregnant. The commercially available urinary pregnancy tests you can buy from chemists are suitable.
- Whether you have had any significant medical problems in the past and the nature of these.
What does an early pregnancy assessment involve?
At our clinics we assess early pregnancies using transvaginal ultrasonography and on occasion to use measurements of a hormone produced in pregnancy (HCG).
We will ask you to give a brief outline of the problem, the day of your last period and whether you have had any significant gynaecological or other medical problems in the past. If you have not had a pregnancy test, you will be asked to provide a sample of urine for this to be done. You will then probably have a transvaginal ultrasound carried out.
In the majority of cases, following the scan you will be told what the situation is in relation to your pregnancy, and whether or not any treatment is needed. If the situation is still unclear you may be asked to provide a blood sample in order to measure the pregnancy hormone level in your blood. We may ask you to come back after a few days or 1 week to repeat either the scan or a blood test or both.
Results
All results will be given to you immediately at the time of your visit. A written report of the consultation will be sent to your referring doctor the same day. In the unfortunate event of an abnormal result we will contact your gynaecologist or GP. If you do not have a gynaecologist we can give you advice about what to do and arrange any care that may be appropriate.
Psychological therapies
Counselling
Counselling can provide a neutral and safe space for you to explore your emotions and your (or your partner’s) experience of early pregnancy loss, or any other related issues.
Solution focused therapy:
Solution focused therapy is a relatively brief talking therapy that is based on the idea that you, yourself, have the necessary resources to feel better about who you are, your life and your relationship. You know yourself best, however, at times you might need to think out loud with someone else to locate those resources within you. The same principles apply to your partner relationship, where it can be helpful to have a neural person present who can help you both make meaningful changes in your relationship and overcome any challenges.
Cognitive Behavioural Therapy
Cognitive Behavioural Therapy teaches you strategies and techniques that can help you get unstuck from negative patterns. It can help you improve your self-image and make sense of and deal with feelings of jealousy, anger, anxiety, depression, lack of control and guilt or self-blame.
Interpersonal therapy
The experience of early pregnancy loss may make you feel isolated from others, which in turn can make you feel worse about your situation. Of course, everyone’s circumstances are unique, but it is common for women (and their partners) to feel estranged from friends who have children or to feel that people don’t really fully appreciate or understand their experiences. Interpersonal therapy focuses on helping you access your social support network and improve your relationships with significant others.
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