A primagravida in her 20th week of gestation complains about pain in her lower abdomen, blood smears from the genital tracts. The uterus has an increased tonus, the patient feels the fetus movements. Bimanual examination revealed that the uterus size corresponded the term of gestation, the uterine cervix was contracted down to 0,5 cm, the external orifice was open by 2 cm. The discharges were bloody and smeary. What is the most likely diagnosis?

Answer options

1. Incomplete abortion
2. Abortion in progress
3. Risk of abortion
4. Incipient abortion
5. Missed miscarriage

Explanation

Bleeding within 12-20 weeks of gestation is called spontaneous abortion (miscarriage) if it leads to pregnancy loss. It is divided into 5. These are Missed abortion (has non-viable pregnancy without vaginal bleeding, uterine cramping/cervical dilation), Threatened abortion (has viable pregnancy with vaginal bleeding but no cercal dilation and less pelvic pains), Inevitable/incipient abortion (has vaginal bleeding and uterine cramping leading to cercal dilation but no product of conception has yet been passed), Incomplete abortion (features of inevitable abortion with some product of conception been passed) and finally Complete abortion (features of inevitable abortion with all product of conception been passed).