The early symptoms of pregnancy may be present. Mild cramps with bleeding. Cervix long and closed. Uterus appropriate for gestational age. Persistent cramps and moderate bleeding.
Cervical os is open.
Speculum examination reveals a dilated internal os and tissue present within the endocervical canal or vagina. Bleeding may be heavy. Entire conceptus expelled with decreasing or ceasing of cramps and bleeding. On examination, the uterus is firm, and smaller than one would expect for gestational length of pregnancy. Products of conception retained 3 or more weeks after fetal death.