The First Trimester Toolbox – Practical management of bleeding, pain and uncertainty in early pregnancy

Learning outcomes

• Identify women requiring investigation for first trimester pain and bleeding including women at risk of ectopic pregnancy and pregnancy in unknown location.
• Describe evidence-based management of common first trimester complications covering miscarriages and appropriate use of progesterone.
• Outline the evidence-based approach to routine first trimester care, including counselling regarding screening, investigations, medications, and referral pathways.

Speaker bio: Dr Michael Silagy, Obstetrician and Gynaecologist

I am a specialist Obstetrician and Gynaecologist committed to delivering compassionate, patient-centred care across all stages of a woman’s reproductive and gynaecological health. I provide maternity care at Cabrini Malvern, as well as surgical gynaecology care at Cabrini Brighton and Malvern.

I have completed extensive specialist training, obtaining my FRANZCOG through Monash and Peninsula Health, and am experienced in managing both routine and complex obstetric and gynaecological conditions, including high-risk pregnancies, twin pregnancies, vaginal birth after caesarean (VBAC), and general gynaecological concerns. I have further trained in minimally invasive surgery, such as laparoscopic hysterectomy and the management of endometriosis.

I am known for my calm, supportive manner and commitment to shared decision-making, working in partnership with women and families to ensure their values and preferences are respected throughout their care.