TY - CHAP M1 - Book, Section TI - Spontaneous Abortion A1 - Dooley-Hash, Suzanne A1 - Knoop, Kevin J. A2 - Knoop, Kevin J. A2 - Stack, Lawrence B. A2 - Storrow, Alan B. A2 - Thurman, R. Jason PY - 2021 T2 - The Atlas of Emergency Medicine, 5e AB - Spontaneous abortion most often presents with vaginal bleeding in early pregnancy (< 20 weeks), with or without pelvic pain. Severe pain, heavy bleeding, passage of clots or tissue, and hypotension are possible. Symptoms that are not accompanied by passage of tissue or cervical dilation constitute a threatened abortion. Uterine cramping with progressive cervical dilation indicates an inevitable abortion. Partial passage of products of conception (POC) with intrauterine retention of some tissue is an incomplete abortion. Fever, leukocytosis, pelvic tenderness, and malodorous cervical discharge suggest a septic abortion. Completed abortion is characterized by the passage of confirmed POC, followed by resolution of bleeding and closure of the cervical os. SN - PB - McGraw-Hill CY - New York, NY Y2 - 2024/04/17 UR - accessmedicine.mhmedical.com/content.aspx?aid=1181041578 ER -