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Algo Imminent Miscarriage

The document outlines the case of a 33-year-old female with hypogastric pain and vaginal spotting, indicating an imminent miscarriage at 8 weeks and 2 days of pregnancy. The examination reveals a cervix with fleshy masses and no signs of distress, with a treatment plan that includes medications and monitoring for potential interventions. Expectant management is advised, allowing for spontaneous passage of the nonviable fetus, with options for further procedures if necessary.

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Angela Caguitla
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5 views1 page

Algo Imminent Miscarriage

The document outlines the case of a 33-year-old female with hypogastric pain and vaginal spotting, indicating an imminent miscarriage at 8 weeks and 2 days of pregnancy. The examination reveals a cervix with fleshy masses and no signs of distress, with a treatment plan that includes medications and monitoring for potential interventions. Expectant management is advised, allowing for spontaneous passage of the nonviable fetus, with options for further procedures if necessary.

Uploaded by

Angela Caguitla
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

ALGORITHM

S
JM, 33 yo, SGT
(+) Hypogastric pain
(+) Vaginal spotting
(-) Fever
(-) Dysuria

 General Survey: Conscious, coherent, not in cardiorespiratory distress

O
 Vital Signs: BP 110/70 mmHg HR 89 bpm RR 19 cpm Temp 36.8 °C
 HEENT: Anicteric sclerae, pink palpebral conjuctivae, no nasoaural discharge
 Chest and Lungs: Symmetrical chest expansion, no retractions clear breath sounds
 Heart: Adynamic precordium, normal rate regular rhythm, no murmurs
 Abdomen: Flabby, normoactive bowel sounds, soft, non-tender
 SE: Cervix is violaceous, smooth, (+) 3 fleshy masses occupying the os
 IE: Cervix is soft open, (+) 3 fleshy masses, largest measuring 0.4 x0.4 cm occupying the os, uterus small, no
palpable adnexal mass nor tenderness noted
 Extremities: Grossly normal, full and equal pulses

A G5P4(0400) Pregnancy Uterine 8 2/7 weeks AOG, in Imminent Miscarriage; Poor OB score; Advanced
maternal age

P
IMMINENT MISCARRIAGE

Folic acid 1 tab OD


Calcium 1 tab BID
Multivitamins 1 tab OD
Dydrogesterone 10mg/tab, 4 tabs as LD then1 tab q8H
Vaginal discharge GS/CS
Official TVS
75g OGTT, Thyroid function test

For Expectant Management:


- Allow spontaneous passage of nonviable fetus
then may do completion curettage after, if
bleeding or hypogastric pain persists

If patient will not pass out:


- Perform cerclage earliest at 11 weeks AOG
- Monitor cervical length
- For close maternal and fetal surveillance
althroughout pregnancy

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