Threatened Abortion

Threatened abortion- is the type of miscarriage where the process of abortion has started but not worse to the extent that pregnancy can not be maintained if emergence clinical intervention has been done. In this type of abortion recovery can be possible.

       Clinical symptoms
-Before coming up with the diagnosis of threatened abortion, history and confirmatory test should be done to make sure, the patient is a pregnant in-order to rule out other obstetrics and gynecology conditions. Therefore the patient should a pregnant who present with the following symptoms:-
               -slightly bleeding per vagina
               -mild back or lower abdominal pain
              
-Speculum examination and per vagina examination (reveal the closed cervix) should be done to rule out ectopic pregnancy, molar pregnancy, cervical ectopy, fibroid and carcinoma.

-Basic investigations like hemoglobin level, blood group and cross match and hematocrits level should be done soon as possible. Urine test for viability of pregnancy may be unreliable, because it may be positive even several days after fetus death. Ultrasound is very important because it can be used to observe fetal cardiac movement, fetal movement and other  parameters.

 
      Treatments
 -the patient should be in bed/rest for few days until symptoms are no longer present.
 -sexual intercourse should be avoided because it may provoke symptoms and make the  condition     worse.
 -anti-pain drugs should be given to relief pain and diazepam may added.