What is the focus of the pelvic exam to evaluate a suspected early pregnancy loss?

Updated: Nov 05, 2018
  • Author: Slava V Gaufberg, MD; Chief Editor: Jeter (Jay) Pritchard Taylor, III, MD  more...
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Answer

Pelvic examination should focus on determining the source of bleeding, such as the following:

  • Blood from cervical os

  • Intensity of bleeding

  • Presence of clots or tissue fragments

  • Cervical motion tenderness (presence increases suspicion for ectopic pregnancy)

  • Status of internal cervical os: open indicates inevitable or possibly incomplete miscarriage; closed indicates threatened miscarriage.

  • Uterine size and tenderness, as well as adnexal tenderness or masses


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