eMedicine Specialties > Emergency Medicine > Obstetrics & Gynecology

Abortion, Missed: Multimedia

Author: Verena T Valley, MD, Associate Professor, Director of Ultrasound, Department of Emergency Medicine, University of Mississippi School of Medicine
Coauthor(s): Loretta Jackson-Williams, MD, PhD, Assistant Professor, Department of Emergency Medicine, University of Mississippi Medical Center; Christopher A Fly, MD, Assistant Professor, Department of Emergency Medicine, Medical College of Georgia
Contributor Information and Disclosures

Updated: Jun 15, 2006

Multimedia

This endovaginal ultrasonogram reveals an irregul...Media file 1: This endovaginal ultrasonogram reveals an irregular gestational sac with an amorphic fetal pole. No fetal cardiac activity was noted. This image represents a missed abortion or fetal demise.
This endovaginal ultrasonogram reveals an irregul...

This endovaginal ultrasonogram reveals an irregular gestational sac with an amorphic fetal pole. No fetal cardiac activity was noted. This image represents a missed abortion or fetal demise.

This flowchart details a diagnostic algorithm bas...Media file 2: This flowchart details a diagnostic algorithm based on sonographic findings in early pregnancy, using high-frequency endovaginal sonography (HFEVS) of more than 5 megahertz (MHz). The algorithm continues in Image 3.
This flowchart details a diagnostic algorithm bas...

This flowchart details a diagnostic algorithm based on sonographic findings in early pregnancy, using high-frequency endovaginal sonography (HFEVS) of more than 5 megahertz (MHz). The algorithm continues in Image 3.

This flowchart outlines a diagnostic algorithm ba...Media file 3: This flowchart outlines a diagnostic algorithm based on the initial endovaginal sonographic finding of an intrauterine embryo. The chart incorporates fetal cardiac activity, crown-rump length (CRL), presence of subchorionic hemorrhage (SCH), and uterine or adnexal masses with the clinical presentation (spotting vs bleeding) to aid in making clinical decisions.
This flowchart outlines a diagnostic algorithm ba...

This flowchart outlines a diagnostic algorithm based on the initial endovaginal sonographic finding of an intrauterine embryo. The chart incorporates fetal cardiac activity, crown-rump length (CRL), presence of subchorionic hemorrhage (SCH), and uterine or adnexal masses with the clinical presentation (spotting vs bleeding) to aid in making clinical decisions.

More on Abortion, Missed

Overview: Abortion, Missed
Differential Diagnoses & Workup: Abortion, Missed
Treatment & Medication: Abortion, Missed
Follow-up: Abortion, Missed
Multimedia: Abortion, Missed
References

References

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Further Reading

Keywords

miscarriage, blighted ovum, anembryonic pregnancy, fetal demise, spontaneous abortion, missed abortion, threatened abortion, complete abortion, incomplete abortion, inevitable abortion, pregnancy loss, utero death of the embryo, utero death of the fetus, chromosomal anomalies, septate uterus, luteal phase insufficiency, hypothyroidism, hypoprolactinemia, polycystic ovarian syndrome, anembryonic pregnancy, subchorionic hematoma, subchorionic hemorrhage, subchorionic bleeding, endovaginal ultrasound, transabdominal ultrasound

Contributor Information and Disclosures

Author

Verena T Valley, MD, Associate Professor, Director of Ultrasound, Department of Emergency Medicine, University of Mississippi School of Medicine
Verena T Valley, MD is a member of the following medical societies: American College of Emergency Physicians
Disclosure: Nothing to disclose.

Coauthor(s)

Loretta Jackson-Williams, MD, PhD, Assistant Professor, Department of Emergency Medicine, University of Mississippi Medical Center
Loretta Jackson-Williams, MD, PhD is a member of the following medical societies: American College of Emergency Physicians and Society for Academic Emergency Medicine
Disclosure: Nothing to disclose.

Christopher A Fly, MD, Assistant Professor, Department of Emergency Medicine, Medical College of Georgia
Christopher A Fly, MD is a member of the following medical societies: American College of Emergency Physicians
Disclosure: Nothing to disclose.

Medical Editor

Roy Alson, MD, PhD, FACEP, FAAEM, Associate Professor, Department of Emergency Medicine, Wake Forest University School of Medicine; Medical Director, Forsyth County EMS; Deputy Medical Advisor, North Carolina Office of EMS; Associate Medical Director, North Carolina Baptist AirCare
Roy Alson, MD, PhD, FACEP, FAAEM is a member of the following medical societies: American College of Emergency Physicians, American Medical Association, National Association of EMS Physicians, North Carolina Medical Society, Society for Academic Emergency Medicine, and Wilderness Medical Society
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: Nothing to disclose.

Managing Editor

Mark Zwanger, MD, MBA, Assistant Professor, Department of Emergency Medicine, Thomas Jefferson University
Mark Zwanger, MD, MBA is a member of the following medical societies: American Academy of Emergency Medicine, American College of Emergency Physicians, and American Medical Association
Disclosure: Nothing to disclose.

CME Editor

John D Halamka, MD, MS, Associate Professor of Medicine, Harvard Medical School, Beth Israel Deaconess Medical Center; Chief Information Officer, CareGroup Healthcare System and Harvard Medical School; Attending Physician, Division of Emergency Medicine, Beth Israel Deaconess Medical Center
John D Halamka, MD, MS is a member of the following medical societies: American College of Emergency Physicians, American Medical Informatics Association, Phi Beta Kappa, and Society for Academic Emergency Medicine
Disclosure: Nothing to disclose.

Chief Editor

Pamela L Dyne, MD, Associate Professor, Program Director, Department of Medicine, Division of Emergency Medicine, University of California at Los Angeles School of Medicine
Pamela L Dyne, MD is a member of the following medical societies: American College of Emergency Physicians and Society for Academic Emergency Medicine
Disclosure: Nothing to disclose.

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