3 Hours Of Vaginal in Obstetrics & Gynecology — 28yo Woman | General Gynecology | SMLE Q#11162
SMLE Question #11162
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-ETH-STERIL
Last updated: February 2026
A 28-year-old woman, gravida 3 para 0, presents at 5 weeks’ gestation with 3 hours of vaginal bleeding and passage of small clots. She had two prior painless pregnancy losses at 18–20 weeks with progressive cervical dilatation and was told she had cervical insufficiency; the most recent required dilation and curettage. Speculum examination shows mild bleeding and a slightly open cervical os with no visible tissue. What is the most likely underlying cause of this early pregnancy loss?
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