Abstract
The first and foremost diagnosis to exclude in the pregnant patient presenting with vaginal bleeding is ectopic pregnancy. Once ectopic pregnancy is ruled out, miscarriage should be considered as a clinical spectrum. Its management is directed according to the integrity of the internal cervical os and patient hemodynamic status. Treatment with anti-D immune globulin is warranted for all Rh-negative patients. Urgent obstetric consultation is necessary for most miscarriage presentations.
MeSH terms
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Abortion, Spontaneous / classification
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Abortion, Spontaneous / complications*
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Abortion, Spontaneous / diagnosis*
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Abortion, Spontaneous / therapy
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Biomarkers / blood
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Chorionic Gonadotropin, beta Subunit, Human / blood
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Diagnosis, Differential
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Emergency Medical Services / methods*
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Female
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Humans
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Hydatidiform Mole / diagnosis
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Pregnancy
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Pregnancy Trimester, First
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Pregnancy Trimester, Second
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Pregnancy, Ectopic / diagnosis
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Risk Factors
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Terminology as Topic
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Ultrasonography, Prenatal
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Uterine Hemorrhage / etiology*
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Uterine Neoplasms / diagnosis
Substances
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Biomarkers
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Chorionic Gonadotropin, beta Subunit, Human