Pregnancy Loss

Question 1

Pregnant patient with bleeding, cramping and a cervix this is not dilated, what condition what this patient have?

Answer 1

Threatened abortion (Increased risk of miscarriage)

Question 2

Patient expels products of contraception, pain ceases but has spotting and cervical os is closed with some blood in the vaginal vault, what condition does this patient have?

Answer 2

Complete abortion (completed miscarriage)

Question 3

Patient presents with dilated cervix, some portions of conception products remain in the uterus, mild cramps and bleeding is persistent and excessive, what condition does this patient have?

Answer 3

Incomplete abortion

Question 4

Pregnant patient presents with disappearing sx, brownish vaginal discharge but no active bleeding, no pain, cervix is semi firm and slightly patulous, uterus becomes smaller and irregularly softened, what condition might they have?

Answer 4

Missed abortion

Question 5

What labs should be done for pregnancy loss?

Answer 5

hCG: low or falling levels
CBC: if bleeding is heavy
All tissue should be sent to pathology

Question 6

What imaging should be done for pregnancy loss?

Answer 6

Transvaginal US

Question 7

Who should patients with pregnancy loss be referred to?

Answer 7

OB