Miscarriage

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Miscarriage Normal uterine anatomy (cut section)

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Miscarriage

Abortion - spontaneous; Spontaneous abortion

Possible symptoms include:

• Low-back pain or abdominal pain that is dull, sharp, or cramping
• Vaginal bleeding, with or without abdominal cramps
• Tissue or clot-like material that passes from the vagina

However, about 20% of pregnant women have some vaginal bleeding during the first trimester. Approximately half of these women have a spontaneous abortion.

During a pelvic exam, your healthcare provider may see moderate thinning of your cervix (effacement), increased cervical dilation, and evidence of ruptured membranes.

The following tests may be performed:

• HCG (qualitative urine) or HCG (qualitative blood serum) to confirm pregnancy
• HCG (quantitative) values drawn at intervals of days to weeks
• CBC to determine the degree of blood loss
• WBC and differential to rule out infection

An abortion, especially if incomplete or missed, may also alter the results of the following tests:

• Transvaginal ultrasound
• Pregnancy ultrasound
• Estriol - urine
• Estriol - serum
• Serum progesterone
• Fibrin degradation products

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