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Early pregnancy complications are one of the most common reasons for women of reproductive age seeking medical help. Many pregnancies are complicated by pain and/or bleeding, which often causes concern because of a perceived risk of miscarriage. A comprehensive service with easy and fast access needs to be provided for women in early pregnancy. An initial assessment to reach a correct diagnosis is carried out, and diagnostic tests are instigated. Follow-up is vital, and for those women who have suffered pregnancy loss, offering counselling and support is another important role for an early pregnancy unit. With the advent of computer databases, a paperless clinic can be a key element in the efficient running of an early pregnancy unit. It is important that the unit has multidisciplinary and trained staff, access to laboratory tests, a gynaecology ward and operating theatre, in case of direct admissions, and facilities for resuscitation.
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