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Pregnancy
terminations of less than five (5) weeks can be performed, but intra-operative
and postoperative sonographic examination may be necessary to successfully
complete the procedure.
Due to the early gestational size of a pregnancy
there is a slight chance that the pregnancy may be missed during
the surgical procedure, either because of the small size of the
pregnancy or the possibility that the pregnancy is in the fallopian
tube (Ectopic Pregnancy). Because of the utilization of sonographic
examination pre, post and intra-operatively, the chances of missing
the pregnancy are unlikely.
In some instances the sonogram may visualize
what appears to be a pregnancy but is not. In this case, it is through
postoperative follow up examination and analysis of clinical studies
and data (serum pregnancy tests, pathology reports, etc.) that a
definitive diagnosis can be made.Patients must understand that further
studies and tests may be ordered and it is their responsibility
to have these tests done without any delay. Further follow up and
examinations may be required in addition to post operative follow
up appointment and patients must agree to return to the facility
as indicated by the physician.
In early pregnancy, patients have the option
to go ahead with this procedure or elect to postpone the procedure
because of the difficulty in diagnosing and terminating an early
pregnancy. They may leave the facility to return in 1 or 2 weeks
when the diagnosis of uterine pregnancy can be more easily made.
If a patient leaves the facility and postpones the procedure because
it is "early" she must be warned of the possibility of an ectopic
pregnancy because a definitive diagnosis of uterine pregnancy is
difficult to make.
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