Question

1. What are the main differences between a threatened spontaneous loss and an inevitable spontaneous loss?

Answer 1

1) Threatened spontaneous loss is diagnosed when there is vaginal bleeding, low back pain , pelvic pressure, uterine cramping and cervix is still closed. Women suffering from threatened spontaneous loss/ abortion may or may not lose the fetus. However, careful monitoring and appropriate interventions are necessary. Typically patients are instructed to avoid sexual activity, tampons and douches as well as strenous exercises. Patients are also encourage to note and report bleeding to their healthcare practitioners.

Inevitable spontaneous loss occurs when amniotic membranes rupture and the cervix dilates. Patients typically have cramping and heavier bleeding. The abortion cannot be stopped. The products of conception are commonly expelled without interventions.If tissues remains woman needs Dilation and Curettage ( D & C) to clean the uterine walls and remove remaining uterine contents.