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Miscarriage Normal uterine anatomy (cut section)

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Miscarriage

Alternative Names: Abortion - spontaneous; Spontaneous abortion Symptoms: Possible symptoms include: Low-back pain or abdominal pain that is dull, sharp, or cramping Vaginal bleeding, with or without abdominal cramps Tissue or clot-like material that passes from the vagina Text Continues Below However, about 20% of pregnant women have some vaginal bleeding during the first trimester. Approximately half of these women have a spontaneous abortion. Signs and tests: During a pelvic exam, your healthcare provider may see moderate thinning of your cervix (effacement), increased cervical dilation, and evidence of ruptured membranes. The following tests may be performed: HCG (qualitative urine) or HCG (qualitative blood serum) to confirm pregnancy HCG (quantitative) values drawn at intervals of days to weeks CBC to determine the degree of blood loss WBC and differential to rule out infection An abortion, especially if incomplete or missed, may also alter the results of the following tests: Transvaginal ultrasound Pregnancy ultrasound Estriol - urine Estriol - serum Serum progesterone Fibrin degradation products

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