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Abortion - threatened



Miscarriage
Miscarriage
Early pregnancy
Early pregnancy


Abortion - threatened

Alternative Names:

Threatened miscarriage; Threatened spontaneous abortion
Symptoms:
  • Vaginal bleeding during the first 20 weeks of pregnancy (last menstrual period was less than 20 weeks ago)
  • Abdominal cramps may or may not accompany vaginal bleeding

Note: With true miscarriage, low back pain or abdominal pain (dull to sharp, constant to intermittent) typically occurs and tissue or clot-like material may pass from the vagina.


Signs and tests:


Pelvic examination reveals a cervix that is neither thinned (effaced) nor open (dilated). Either of these could suggest impending miscarriage.

  • A serum HCG may be performed to confirm that a pregnancy exists.
  • Beta HCG (quantitative) test may be repeated over a period of days or weeks to confirm either continued pregnancy or fetal death.
  • A CBC may be obtained to determine the degree of blood loss.
  • A WBC with differential may be obtained to rule out infection.
  • A pregnancy ultrasound is used to detect fetal heartbeat.

This disease may also alter the results of the following tests:




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