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The article offers information on early pregnancy bleeding with regards to its causes, clinical assessment, investigation, recurrent miscarriage, and management of miscarriage and ectopic pregnancy. A background of early pregnancy bleeding is provided which affect numerous pregnant women, however most cases are not medical emergencies. The areas that should be investigated in early pregnancy bleeding includes serum progesterone levels.

The article focuses on the causes, clinical assessment, investigation and treatment of early pregnancy bleeding. Included in the causes of bleeding are threatened miscarriage, molar pregnancy and ectopic pregnancy. Clinical presentations of miscarriage include complete miscarriage, incomplete miscarriage and missed miscarriage. It is noted that the investigation of bleeding in pregnancy should be directed by history and examination findings.