CM. Scan Outcomes

Pregnancy of Unknown Location (PUL)

Do not use the acronym ‘PUL’ when communicating this finding. Instead, first describe what you are seeing, and then offer the technical term for this. Acknowledge that ultrasound is limited in what it can see. Also explain that since ectopic pregnancy cannot be ruled out, this will need to be monitored for.

Ectopic Pregnancy

• First communicate what you have found in lay terms, followed by the translation and what this will mean for the baby.
• Open with the term, ‘I’m sorry’, as this will help communicate to the woman that you have found something serious. Also remember to acknowledge the loss of the baby; this can be overlooked in ectopic pregnancy situations due to the risk to the mother’s health.
• Allow the expectant parents an opportunity to react to this news and to ask any questions. Some parents will ask whether the baby can be moved. If this happens, respond gently but honestly that it cannot.
• Next, acknowledge the health risks presented by the situation and emphasise your priority as a healthcare professional, which is to ensure the wellness of the woman. It can be helpful for women at this time to be reminded that they are important and you are focused on their care.