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threatened miscarriage
Physical examination:
- pelvic examination of the cervix
Clinical manifestations:
- abdominal cramps with or without vaginal bleeding
- vaginal bleeding during the first 20 weeks of pregnancy (last menstrual period < 20 weeks ago)
Laboratory:
- serum beta-HCG (quantitative)
- serial testing over a period of days or weeks to confirm whether pregnancy is continuing
- complete blood count (CBC) with WBC differential to assess infection
Complications:
- hemorrhage, anemia
- infection
- miscarriage
Management:
- restriction of activity, bed rest
- avoid sexual intercourse until signs/symptoms had resolved
- progestrerone is controversial
Prognosis: many women continue with a normal pregnancy
Related
miscarriage
General
pregnancy disorder; obstetric disorder; pregnancy complication
References
- MedlinePlus: Miscarriage threatened
http://www.nlm.nih.gov/medlineplus/ency/article/000907.htm