abortion, threatened…

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miscarriage, early pregnancy, threatened miscarriage, threatened spontaneous abortion, a threatened abortion, condition of pregnancy, the 20th week of gestation, suggests potential miscarriage, take place, 20% of pregnant women experience some vaginal bleeding, abdominal cramping, first trimester, a threatened abortion, most of these pregnancies go on to term, spontaneous abortion occurs in less than 30%, the women who experience vaginal bleeding, pregnancy, cases, spontaneous abortion, usual cause is fetal death, such death is typically the result of a chromosomal, developmental abnormality, potential causes, infection, maternal anatomic defects, endocrine factors, immunologic factors, maternal systemic disease, estimates report that up to 50% of all fertilized eggs abort spontaneously, the woman knows she is pregnant, among known pregnancies, rate is approximately 10%, occur between 7, 12 weeks of gestation, increased risk is associated, women over age 35, women, systemic disease, diabetes, thyroid dysfunction, a history of 3, prior spontaneous abortions, vaginal bleeding, first 20 weeks of pregnancy, last menstrual period was less than 20 weeks ago, abdominal cramps, not accompany vaginal bleeding, true miscarriage, low back pain, abdominal pain, dull to sharp, constant to intermittent, occurs, tissue, clot-like material, pass, vagina, pelvic examination reveals a cervix that is neither thinned, effaced, nor open, dilated, either of these could suggest impending miscarriage, a serum hcg performed to confirm that a pregnancy exists, beta hcg, quantitative test repeated, a period of days, weeks to confirm either continued pregnancy, fetal death, a cbc obtained, the degree of blood loss, a wbc, differential obtained to rule out infection, a pregnancy ultrasound, detect fetal heartbeat, tests, serum progesterone, beta hcg, quantitative, bed rest, pelvic rest, abstaining from intercourse, douching, tampon use, no evidence to show that these actually reduce the rate of miscarriage, use of progesterone is controversial, potential benefit, relaxation of smooth muscle, the muscles, the uterus, increase the potential risk of an incomplete abortion, an abnormal pregnancy, luteal phase defect, progesterone supplementation should not be used, probable outcome is good, the pregnancy continues to progress, all the symptoms disappear, spontaneous abortion, moderate to heavy blood loss, anemia, dead fetus syndrome, infection, imperative, woman who knows she, likely to be, pregnant, who has any signs, symptoms of threatened abortion to contact her prenatal health care provider, studies show that women who receive prenatal care have better pregnancy outcomes, babies, complete prenatal care decreases the risk of miscarriage, better to detect, treat known maternal disorders, conception occurs than to wait, you're already pregnant, avoiding environmental hazards x-rays, infectious diseases also decreases the risk of miscarriage in early pregnancy, spontaneous abortion is not preventable fetus dies, in fact, the uterus to expel all of its contents, products of conception, a missed abortion occurs, a dead fetus is not expelled, uterus, the dead fetus is expelled, an incomplete abortion.