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    288363

    How to be reasonably certain a woman is not pregnant.

    World Health Organization [WHO]. Special Programme of Research, Development and Research Training in Human Reproduction

    Progress in Reproductive Health Research. 2005; (68):8.

    Service providers need to be able to assess whether a woman who is seeking contraceptive services might already be pregnant. This can be difficult at a very early stage. Biochemical tests are often useful, but are not available in all areas. Pelvic examination, where feasible, is reliable from approximately 8–10 weeks after the first day of the last menstrual period. You can be reasonably certain that the woman is not pregnant if she has no symptoms or signs of pregnancy, and meets any of the following criteria: she has not had intercourse since her last normal menstrual period; she has been correctly and consistently using a reliable method of contraception; she started a normal menstrual period less than seven days ago; she had an abortion or a miscarriage less than 7 days ago; she gave birth less than 4 weeks ago (for non-breastfeeding women); she gave birth less than 6 months ago, is fully or nearly fully breastfeeding, and her menstrual periods have not returned. (excerpt)
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