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Spontaneous abortion

  • Labs

    • fetal heart tone
    • TVUS
    • Rh status
  • Tx

    • misoprostol 800mcg vaginally, repeat on day 2 as needed
    • TVUS to confirm
    • suction, D&C if needed
    • rhogam 50-300 ug if Rh-
    • IV fluids
    • if septic:
      • obgyn consult
      • ampicillin/sulbactam 3 grams IV
      • or clindamycin 600 mg + gentamicin 1-2 mg/kg IV
    • pelvic rest (no intercourse or tampons)
    • return if fever, heavy bleeding or pain
  • ROS

    • Rh status
    • prenatal care
  • Types

    • complete: everything passed, cervix closed
    • incomplete: partial passage, cervix open
    • inevitable: cervix open
    • missed: embryo dead or gone, sac remains
    • septic: what remains get infected

  • Print | Citations

    Disclaimer: MDHero Workups is for educational use only, and is not meant to replace the clinical judgement of a professional. We do not guarantee the accuracy of any information on this website.