Pregnancy Loss

Question 1

Termination of gestation prior to 20 weeks
Low/falling levels of hCG
Bleeding/midline cramping, dilated cervix

Answer 1

Spontaneous abortion

Question 2

Pregnancy complicated by bleeding prior to 20wks
Bleeding or cramping; cervix not dilated
Bed Rest

Answer 2

Threatened Abortion

Question 3

Some but not all products of conception passed. Retained products.
Mild cramps, bleeding persistent. Can be excessive

Answer 3

Incomplete Abortion

Question 4

Cervix is dilated, but produces have not yet been expelled. Memrbanes ruptured

Answer 4

Inevitable abortion

Question 5

Pregnancy w/ fetal demise but no uterine activity to expel products.
Brownish discharge, but no active bleeding.
Loss of pregnancy symtoms

Answer 5

Missed abortion

Question 6

All products of conception without need for intervention.

Answer 6

Complete abrotion

Question 7

Spontanous abortion complicated by intrauterine infection

Answer 7

Septic abortion

Question 8

Recurrent abortions

Answer 8

3+

Question 9

No pregnancy seen in utero w/ hCG >2000; adnexal mass; sudden onset severe, stabing, non radiating abd pain
-Failure of hCG to double q48hrs, and lower than expected for gestational age

Answer 9

ectopic