A pregnant lady in her first trimester presents with vaginal bleeding. On examination the os is closed and uterine size corresponds to the period of amenorrhoea. The condition could be: September 2005

Ans. D: Threatend Aboion Estimates repo that up to 50% of all feilized eggs abo spontaneously, usually before the woman knows she is pregnant. Among known pregnancies, the rate is approximately 10%. These usually occur between 7 and 12 weeks of gestation. Increased risk is associated with women over age 35, women with systemic disease (such as diabetes or thyroid dysfunction), and those with a history of 3 or more prior spontaneous aboions Threatened aboion-The process of aboion has staed but has not progressed to a state from which recovery is impossible. It presents with painless, slight bleeding per vaginum. Digital examination reveals a closed external os. Uterine size corresponds to the period of amenorrhoea. Inevitable aboion-The process of aboion has staed and have progressed to a state from where recovery is impossible. It presents with painful, increased bleeding per vaginum. Digital examination reveals a dilated internal os. Complete aboion- It presents with painless, slight bleeding per vaginum. Digital examination reveals a closed external os.Uterine size is smaller than the period of amenorrhoea. Septic aboion presents with clinical evidence of infection of uterus and its contents.