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Bleeding in Pregnancy - Coggle Diagram

- - - - BED REST (does not alter the course)
      - Acetaminophen-based analgesia for discomfort
      - Cornfirmation of fetal death (repeat evaluations needed as these are not 100% accurate).
        
        Transvaginal US
        
        Serial serum quantitative human chorionic gonadotropin (hCG)
        
        Serum progesterone levels
  - - - Anterior, rhythmic cramps
      - Persistent low backache with a feeling of pelvic pressure
      - Dulll midlline; suprapubic discomfort
  - - - A thin tube is inserted through the cervix into the uterus, and a gentle suction device is used to remove the uterine contents. This can be performed in early pregnancy and after a miscarriage.
    - - This is typically used after the first trimester, and involves dilating the cervix and using a combination of suction, forceps, and sometimes curettage (scraping) to remove the uterine contents.