Threatened Miscarriage

Threatened miscarriage is bleeding from the vagina in early pregnancy (before 20 weeks) with a closed cervix and a still-viable pregnancy. About half of threatened miscarriages continue to term.

Table of Contents

Quick Facts

  • ICD-10: O20.0

Evaluation

  • Quantitative hCG levels
  • Pelvic ultrasound
  • Rh status check (RhoGAM if Rh negative)

Management

  • Watchful waiting
  • Some doctors recommend pelvic rest
  • Progesterone in selected cases (especially recurrent loss)
  • Repeat ultrasound and follow-up
Medical Disclaimer: This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider with questions about a medical condition. If you are experiencing a medical emergency, call your local emergency number immediately.

References

  • ACOG. Early Pregnancy Loss Practice Bulletin.