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Vaginal bleeding in the early stages of pregnancy

Science source / biophoto associatesIn an ectopic pregnancy , the embryo (shown) implants outside the uterine bleeding in the early stages of pregnancya number of potential causes of early pregnancy Vaginal bleeding must be considered when deciding what type of management is D. WalKer; Kathy Dexter, mls, mha, mpa, pa-c; anD bonnie a. DaDig, , pa-cn Learning objectiVes:te x t h e r e te x t h e r e te x t h e r e te x t h e r e n compLete the posttest: page xxn additionaL cme/ce: pages xxturn to page 27 for additional information on this month s cme/ce the clinical aDvisor april 2013 the clinical aDvisor april 2013 1 Up to 25% of all women in the early stages of pregnancy will experience Vaginal bleeding or spotting. Even more sobering, half of those women will go on to experience intrauterine fetal demise prior to the 20th To reduce morbidit y and mortality, the astute practitioner should be able to effectively assess and manage a patient with Vaginal bleeding in the first half of her pregnancy .

occurs in early pregnancy with an embryo/fetus present in the uterus, detectable cardiac activity, and a closed cervical os. In a missed abortion, the embryo/fetus is larger than 5 mm, without heart tones, and the POC are retained. 1 An EP is a conceptus that implants outside of the uterus. 1

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