ACOG DII SMI vs First Trimester Bleeding

The Safe Motherhood Initiative (SMI) is a project of the American Congress of Obstetricians & Gynecologists (ACOG), District II. The SMI works with obstetric hospitals across New York State to implement standard approaches to care - "bundles" - for the leading causes of maternal mortality, and venous thromboembolism. Access all of the SMI's materials via the app, including: - Risk assessment tables - Checklists - Algorithms - Clinical presentation slide decks - Guidance documents

The First Trimester Bleeding app is for CLINICIANS (not the lay public). It helps a clinician move through the complex evaluation protocols for women early in pregnancy suffering bleeding and pain. The app also reviews guidance on management of early pregnancy loss and ectopic pregnancy. The app answers questions such as: - what information and investigations do I need for a woman with early pregnancy bleeding? - how do I distinguish pregnancies which are viable, non-viable, and of uncertain viability? - what do I do if no pregnancy can be found inside or outside the uterus on ultrasonography (Pregn Unknown Location)? - when do I need serial ß-hCG's and when do I need serial sonograms? - for early pregnancy loss, what are my treatment options? - how do I use Misoprostol for a woman electing medical management of incomplete SAB? All information is based upon guidance in the medical literature and expert medical authorities. A great deal of materials are shared and adapted with permission from the Reproductive Health Access Project (thanks!). The app offers several direct external links to their materials for more information. The app is intended for family physicians, obstetricians, midwives, ER and urgent care personnel, and trainees like residents and medical students, and anyone involved in the care of early pregnancy. As educators and clinicians, we are interested in feedback and would be grateful for guidance on improving the tool.