Clinical features
The clinical features of a threatened abortion are:
- uterus is normal size for dates
- vaginal bleeding - the bleeding may be slight as faint brown discharge or a profuse red discharge with clotting
- no products have been passed - do not confuse clots with products
- cervix is closed, but note, the external os of a multigravida admits a finger tip
- there is generally no pain although there may be a dull ache or discomfort due to congestion of the pelvic organs
- pregnancy test is positive
- fetal heart sounds and movements are observed
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