Pregnancy Loss

Question 1

Almost what percentage of all clinically recognized pregnancies terminate in spontaneous abortions?

Answer 1

20%

Question 2

Pregnancy loss

In what does bleeding or cramping occur, but the pregnancy continues; cervix is not dilated?

Answer 2

Threatened abortion (increased risk of miscarriage)

Question 3

Pregnancy loss

In what are the products of conception completely expelled, pain ceases, but spotting may persist; Cervical os is closed, some blood is in the vaginal vault?

Answer 3

Complete abortion (completed miscarriage)

Question 4

In what is the cervix dilated, some portions of the products of conception remain in the uterus, mild cramps are reported, and bleeding is persistent and often excessive?

Answer 4

Incomplete abortion

Question 5

In what are the following signs and symptoms noted?

1. pregnancy has ceased to develop, conceptus has not been expelled
2. pregnancy symptoms disappear
3. brownish vaginal discharge but no active bleeding
4. pain does not develop, cervix is semi-firm and slightly patulous
5. uterus becomes smaller and irregularly softened
6. adnexa are normal
7. women may be indicated for abortifacient and correttage

Answer 5

Missed abortion

Question 6

What lab findings may be seen in pregnancy loss?

Answer 6

1. Low or falling hCG levels
2. CBC if bleeding is heavy
3. tissues recovered should be sent to pathology if possible