SAB

Question 1

no sx / light vaginal bleeding, ↓pregnancy sx, closed cervix, nonviable fetus on US

Answer 1

missed SAB

Question 2

vaginal bleeding, uterine cramps, +/- intrauterine fetus w/ heartbeat, open cervix

Answer 2

inevitable SAB

Question 3

vaginal bleeding w/ passage of large clots/tissue, uterine cramps, products of conception often visualized in cervical os, open cervix

Answer 3

incomplete SAB

Question 4

var vaginal bleeding, closed cervix, viable pregnancy on US

Answer 4

threatened SAB that can proceed to viable birth

Question 5

fever, malaise, signs of sepsis, foul-smelling vaginal discharge, cervical motion & uterine tenderness, cervix usually open, usually retained products of conception on US

Answer 5

septic SAB

Question 6

tx for threatened SAB

Answer 6

exptectant management until sx resolution or progression to inevitable/incomplete/missed abortion

Question 7

tx for inevitable, incomplete or missed SAB

Answer 7

if hemodynamically unstable: surgical evacuation (D&C)

if hemodynamically stable: expectant management, prostaglandins or surgical evacuation

Question 8

tx for septic SAB

Answer 8

blood & endometrial cx -> abx -> surgical evacuation of uterine contents