RT Book, Section
A1 Dooley-Hash, Suzanne
A1 Knoop, Kevin J.
A2 Knoop, Kevin J.
A2 Stack, Lawrence B.
A2 Storrow, Alan B.
A2 Thurman, R. Jason
SR Print(0)
ID 1181041578
T1 Spontaneous Abortion
T2 The Atlas of Emergency Medicine, 5e
YR 2021
FD 2021
PB McGraw-Hill
PP New York, NY
SN 9781260134940
LK accessmedicine.mhmedical.com/content.aspx?aid=1181041578
RD 2024/04/23
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.