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Threatened Abortion
Threatened Abortion Threatened abortion is defined as vaginal bleeding before 20 weeks of gestation It occurs in about 30% to 40% of all pregnancies.
History ประจำเดือนครั้งสุดท้าย อายุครรภ์โดยประมาณ เลือดที่ออก ลักษณะ ระยะเวลา ปริมาณ ( ประมาณการเสียเลือดคร่าวๆ ) มีชิ้นเนื้อปนออกมาหรือไม่ ประวัติเคยแท้ง ประวัติโรคเลือด อาการที่พบร่วม เช่น ปวดท้อง หน้ามืด เป็นลม ไข้
Physical examination Vital signs Abdomen usually is not tender Cervix is closed Bleeding can be seen coming from the os, and usually there is no cervical motion or adnexal tenderness.
Investigation การตรวจทั่วไป CBC Blood group UA Wet smear
Investigation การตรวจยืนยันการตั้งครรภ์ Urine pregnancy test Serial measurements of hCG Ultrasonography TAS TVS
Treatment There are no effective therapies for threatened abortion.  Bedrest, although often prescribed, does not alter its course. Progesterone or sedatives should not be used  Acetaminophen-based analgesia may be given to help relieve discomfort All patients should be counseled and reassured so that they understand the situation.

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