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Refer immediately to an early pregnancy assessment service (or out-of-hours gynaecology service if the early pregnancy assessment service is not available) for further assessment
women with a positive pregnancy test and the following on examination:
pain and abdominal tenderness
or pelvic tenderness
or cervical motion tenderness
Refer to an early pregnancy assessment service (or out-of-hours gynaecology service if the early pregnancy assessment service is not available) women with bleeding or other symptoms and signs of early pregnancy complications who have:
The urgency of this referral depends on the clinical situation.
Reference:
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