Early Pregnancy Bleeding
Evaluation of early pregnancy bleeding should focus initially on identification of ectopic pregnancy and spontaneous abortion.
The primary concern of initial management is assessment of hemodynamic stability and possible peritonitis.
Management of ectopic pregnancy is designed to (a) minimize maternal morbidity and mortality, (b) remove the ectopic pregnancy, and (c) maximize potential future fertility.
Management of possible spontaneous abortion begins with ruling out the possibility of ectopic pregnancy.