Abdominal cramps may or may not accompany vaginal bleeding . A serum HCG may be performed to confirm that a pregnancy exists. A CBC may be obtained to determine the degree of blood loss . A WBC with differential may be obtained to rule out infection. Restricting activity will not guarantee that a miscarriage will not occur.
Providers typically recommend abstaining from intercourse until symptoms resolve.
The woman's condition should be monitored carefully. Mild sedatives such as flurazepam may be prescribed. The use of progesterone is controversial. The potential benefit is the relaxation of smooth muscle , including the muscles of the uterus. However, this may increase the potential risk of an incomplete abortion or an abnormal pregnancy .