About this information

NICE clinical guidelines advise the NHS on caring for people with specific conditions or diseases and the treatments they should receive. The information applies to people using the NHS in England and Wales.

This information explains the advice about ectopic pregnancy and miscarriage in early pregnancy that is set out in NICE clinical guideline 154.

All of the treatment and care that NICE recommends is in line with the NHS Constitution (http://www.dh.gov.uk/en/DH_132961). NICE has also produced advice on improving the experience of care for adults using the NHS. For more information see 'About care in the NHS' on our website (http://www.nice.org.uk/nhscare).

Does this information apply to me?

Yes, if you:

  • have pain and/or bleeding in the first trimester of pregnancy (that is, less than 13 weeks)

  • do not have pain and bleeding but have a positive pregnancy test and other symptoms (for example, symptoms of a urinary infection or stomach upset)

  • are found to have a missed miscarriage (where an ultrasound scan has confirmed that the pregnancy will not continue to term, but you have had no pain and bleeding)

  • have a positive pregnancy test, have had an ectopic or molar pregnancy in the past and have concerns in the first trimester of pregnancy.

It does not cover:

  • pain and/or bleeding after the first trimester (13 or more weeks of pregnancy)

  • tumours of the placenta (molar pregnancy or trophoblastic disease – a rare complication of pregnancy where the baby does not grow and the afterbirth develops abnormally)

  • pain and/or bleeding unrelated to pregnancy.

  • Information Standard