2. Threatened Abortion Threatened abortion is defined as vaginal bleeding before 20 weeks of gestation It occurs in about 30% to 40% of all pregnancies.
4. Physical examination Vital signs Abdomen usually is not tender Cervix is closed Bleeding can be seen coming from the os, and usually there is no cervical motion or adnexal tenderness.
7. Treatment There are no effective therapies for threatened abortion. Bedrest, although often prescribed, does not alter its course. Progesterone or sedatives should not be used Acetaminophen-based analgesia may be given to help relieve discomfort All patients should be counseled and reassured so that they understand the situation.