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Ency. home > Disease > A > Abortion - threatened

Abortion - threatened See images

Overview | Symptoms | Treatment | Prevention

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). The presence of effacement and/or dilation is consistent with 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:

Serum progesterone
Beta HCG (quantitative)

Ency. home > Disease > A > Abortion - threatened

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