Threatened Abortion: Symptoms, Diagnosis, Causes, and Management in Early Pregnancy

Threatened Abortion: Early Signs, Diagnosis & Care in Pregnancy

🔍 What is Threatened Abortion?

Threatened abortion refers to vaginal bleeding during the first 20 weeks of pregnancy without cervical dilation. It’s a warning sign that miscarriage may occur but the pregnancy is still viable at this stage

⚠️ Key Symptoms

• Vaginal spotting or bleeding
• Mild abdominal cramps or pelvic pain
• Closed cervical os on examination
• Viable fetus detected on ultrasound

🎯 Causes of Threatened Abortion

• Hormonal imbalances (especially progesterone deficiency)
• Uterine abnormalities
• Infections or trauma
• Stress or physical exertion
• Chromosomal abnormalities

🔬 Diagnosis

• Ultrasound Scan: Confirms fetal heartbeat and gestational age
• Speculum Exam: Ensures cervix is closed
• Beta-hCG levels: Monitored for viability
• Complete Blood Count: Checks for anemia

💊 Management and Care

• Advised bed rest or reduced physical activity
• Progesterone supplementation if deficient
• Hydration and stress management
• Serial ultrasounds to monitor fetal viability
• Avoid intercourse and heavy lifting temporarily

📈 Prognosis

With timely care, over 50–70% of threatened abortions result in successful pregnancies. Early intervention plays a key role in improving outcomes.

🧠 Patient Education Tips

• Seek immediate medical care for any bleeding during pregnancy
• Track fetal movements and follow-up regularly
• Reduce physical and emotional stress.

Written by: Dr. Humaira Latif | Specialist in Gynecology & Obstetrics

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