Abortus imminens, or threatened abortion, refers to a condition in which there is a risk of miscarriage during the early stages of pregnancy. This condition is classified under the ICD-10 code O20.0. It is characterized by symptoms such as vaginal bleeding and lower abdominal cramping, yet the cervix remains closed, and the pregnancy is still viable.
Symptoms and Diagnosis
Common symptoms of abortus imminens include spotting or bleeding from the vagina and mild cramping. However, the absence of cervical dilation and the presence of a heartbeat on ultrasound can indicate that the pregnancy is still ongoing. Diagnosis typically involves a thorough evaluation of the patient’s medical history, a pelvic examination, and ultrasound imaging to confirm fetal viability.
Causes and Risk Factors
Several factors can contribute to abortus imminens, including hormonal imbalances, infections, or physical trauma. Other risk factors include advanced maternal age, multiple pregnancies, and underlying health conditions. Identifying and managing these risk factors early can help reduce the risk of miscarriage.
Treatment and Management
Treatment for abortus imminens focuses on managing symptoms and monitoring the pregnancy closely. Bed rest, hydration, and avoiding strenuous activities are often recommended. In some cases, hormone therapy may be prescribed to support the pregnancy. Regular follow-up appointments with a healthcare provider are crucial to monitor the progression and address any concerns promptly.
In summary, abortus imminens is a critical condition requiring careful monitoring and management to improve the chances of a successful pregnancy outcome. Early diagnosis, understanding the underlying causes, and appropriate treatment can significantly impact the health and progression of the pregnancy.
