No Uterine Contractions in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#12456
SMLE Question #12456
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-ETH-STERIL
Last updated: February 2026
A 23-year-old primigravida at 18 weeks gestation reports a sudden gush of clear vaginal fluid followed within 1 hour by painless expulsion of products of conception. Pelvic examination shows a dilated, soft cervix with no uterine contractions and no retained products. She had a similar painless mid-trimester pregnancy loss at 17 weeks 2 years ago. Which of the following is the most likely diagnosis?
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