Updates in the Management of Pregnancy of Unknown Location: A Focus on Expediting and Streamilining Care
AN Flynn
This highlights updated strategies for managing pregnancy of unknown location (PUL), emphasizing risk stratification and incorporation of pregnancy desiredness to streamline care. It supports triaging low-risk patients—such as those with intrauterine fluid collections or reassuring β-hCG trends—to less intensive follow-up, while recommending active management for undesired or persistent PULs to expedite resolution. The article underscores use of validated prediction models and shared decision-making to reduce unnecessary interventions while safely excluding ectopic pregnancy.