gynecology and obstetrics
Vaginal Bleeding During Early Pregnancy
Treatment
Treatment of vaginal bleeding during early pregnancy is directed at the underlying disorder: Ruptured Treatment : Immediate laparoscopy or laparotomy Unruptured ectopic pregnancy:Methotrexateor salpingotomy or salpingectomy via laparoscopy or laparotomy Threatened Treatment or inevitable abortion: Expectant management for hemodynamically stable patients Incomplete or missed abortions: D & C or uterine evacuation Complete abortion: Obstetric follow-up Treatment : IV antibiotics and urgent uterine evacuation if retained products of conception are identified during ultrasonography and have vaginal bleeding or an ectopic pregnancy should be given Rho(D) immune globulin to prevent Hemolytic Disease of the Fetus and Neonate . 