Table 5. Level of agreement on statements concerning laboratory tests to diagnose threatened miscarriage in the first trimester in Pakistan.
Statement | Level of agreement (%) |
There is no role for monitoring hCG concentration once the presence of an intrauterine pregnancy has been established sonographically. It is advised that serial measurements of hCG are helpful during the first six weeks of pregnancy if ultrasonography is nondiagnostic. | 11(100) |
Failure to detect an intrauterine gestational sac, by transvaginal ultrasound, when the β-hCG value exceeds a discriminatory level of 2,000–3,000 mIU/mL indicates an increased risk for EP. | 11(100) |
A combination of serial human serum hCG levels and serial ultrasound examinations are recommended to exclude ectopic pregnancy. A serum beta-hCG level of 1,500 lU/mL to 2,000 lU/mL is associated with a gestational sac on ultrasound. | 11(100) |
Rh factor testing should be performed if Rh status is not known at the time of presentation. | 10(90.9) |
Complete blood Count (CBC) should be performed to assess the degree of blood loss and anemia. | 9(81.8) |
Women with recurrent miscarriage can be offered thrombophilic blood screening and be referred to specialist. | 11(100) |