ABSTRACT
Bleeding is particularly worrying in recurrent pregnancy loss (RPL) where the patient assumes that another miscarriage is imminent. In RPL, vaginal bleeding is a common complication occurring in 50 of 162 women in Reginald's series and 50 of 102 patients in the author's series of women with RPL. Serum progesterone levels are often used to make prognoses about the continued development of pregnancy. The overall adverse pregnancy outcome was significantly higher in women with threatened miscarriage compared to the control group. Safety and side effects should always be taken into account when drugs are used in pregnancy. Physical examination is required to exclude extragenital causes of bleeding, and ectopic pregnancy. The risk of pregnancy-induced hypertension and pre-eclampsia were significantly greater in the hematoma group. Ultrasound can first differentiate between an intrauterine pregnancy, a molar pregnancy, or ectopic pregnancy.
