Uterine bleeding at 7 weeks’ gestation without any cervical dilation.
Match the description with the correct type of abortion.
A. Complete abortionBleeding occurs in about 30% to 40% of pregnancies before 20 weeks’ gestation, with about half of these pregnancies ending in spontaneous abortion. A threatened abortion describes uterine bleeding that occurs without any cervical dilation or effacement. Inevitable abortion occurs when there is bleeding and cervical dilation, with or without rupture of membranes. Incomplete abortion is when only a portion of the products of conception have been expelled, and the cervix remains dilated. In cases where all fetal and placental tissue have been expelled, the cervix is closed, bleeding is minimal, and uterine cramps have ceased, a diagnosis of complete abortion may be made. A missed abortion is one in which fetal death occurs before 20 weeks’ gestation without expulsion of any fetal or maternal tissue for at least 8 weeks thereafter. When a fetus is retained in the uterus beyond 5 weeks after fetal death, consumptive coagulability with hypofibrogenemia may occur. This is uncommon, however, in gestations of less than 14 weeks in duration.