Governing Body Recommendations
The Society of Gynecologists of Canada (SGOC) (21) Embryo >5 mm and absent fetal cardiac activity
Intrauterine mean gestational sac diameter >8 mm with absent yolk sac
Intrauterine mean gestational sac diameter >16 mm without fetal pole
The American College of Radiologists (ACR) (22) Embryonic crown-rump length >5 mm and absent fetal cardiac activity
Royal College of Obstetricians and Gynaecologists (RCOG) and Royal College of Radiologists (RCR) (23) Intrauterine gestational sac with mean diameter ≥ 20 mm and no yolk sac
Fetal crown-rump length ≥ 6 mm with absent fetal cardiac activity
Australasian Society for Ultrasound in Medicine (ASUM) (24) Mean gestational sac diameter ≥ 20 mm with absent embryonic structures
Embryonic crown-rump length ≥ 6 mm with absent fetal heart rate
Institute of Obstetricians and Gynaecologists, Royal College of Physicians of Ireland (25) Mean gestational sac diameter >20 mm with absent embryonic structures (embryo or yolk sac)
Embryonic crown-rump length ≥ 7 mm with absent fetal heart rate
Table 1: Commonly Used Criteria for Sonographic Diagnosis of Early Pregnancy Loss, may Have Specificity below 100% (guidelines prior to recent revisions).
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