Based on the provided UK guideline excerpts, specific referral criteria for a patient with suspected gestational trophoblastic disease to a specialist are not detailed.
However, early pregnancy assessment services are advised to accept self-referrals from women who have had a previous molar pregnancy NICE NG126. These services are designed to be available 7 days a week for women with early pregnancy complications, offering ultrasound and assessment of serum human chorionic gonadotrophin (hCG) levels NICE NG126. They are staffed by healthcare professionals competent to diagnose and care for women with pain and/or bleeding in early pregnancy NICE NG126. A system should be in place to enable referred women to attend within 24 hours if clinically warranted NICE NG126.
Key References
- CKS - Dyspepsia - pregnancy-associated
- CKS - Hyperthyroidism
- CKS - Ectopic pregnancy
- CKS - Cervical cancer and HPV
- NG126 - Ectopic pregnancy and miscarriage: diagnosis and initial management
- NG1 - Gastro-oesophageal reflux disease in children and young people: diagnosis and management
- NG137 - Twin and triplet pregnancy