INEVITABLE ABORTION Inevitable abortion is an early pregnancy with vaginal bleeding and dilatation of the cervix. Typically, the vaginal bleeding is worse than with a threatened abortion, and more cramping is present. No tissue has passed yet. DIAGNOSIS - severe pain because of uterine contractions. - Vaginal bleeding sometimes with passage of clots. - pelvic examinations shows a dilated cervix. - sometimes products may be felt in the cervical canal. TREATMENT Surgical evacuation under anesthesia is to be done. INCOMPLETE ABORTION Incomplete abortion is a pregnancy that is associated with vaginal bleeding, dilatation of the cervical canal, and incomplete passage of products of conception. Usually, the cramps are intense, and the vaginal bleeding is heavy. Patients may describe passage of tissue, or the examiner may observe evidence of tissue passage within the vagina. Ultrasound may show that some of the products of conception are still present in the uterus. TREATMENT Watchful waiting, which means waiting to see if the body passes the products of conception naturally A surgical procedure called dilation and curettage (D& C) Medical management with Cytotec (misoprostol) COMPLETE ABORTION Complete abortion is a completed miscarriage. Typically, a history of vaginal bleeding, abdominal pain, and passage of tissue exists. After the tissue passes, the patient notes that the pain subsides and the vaginal bleeding significantly diminishes. The examination reveals some blood in the vaginal vault; a closed cervical os; and no tenderness of the cervix, uterus, adnexa, or abdomen. The ultrasound demonstrates an empty uterus. TREATMENT Once sonography has confirmed that there are no retained products in the uterus, there is no surgical treatment needed To continue