A 35 year-old woman presents with vaginal bleeding and abdominal cramping. With a closed cervix and early gestational size, what is the likely diagnosis?

The diagnosis of a threatened abortion is characterized by vaginal bleeding and abdominal cramping occurring while the cervix remains closed and the gestational size is still considered early. In this scenario, the closed cervix indicates that there is no dilation or passage of tissue yet, which fits the criteria for a threatened abortion.

In cases of threatened abortion, the pregnancy may still be viable, meaning that the potential for continuing the pregnancy exists despite the bleeding. Patients often require monitoring, and in some instances, may be placed on pelvic rest or given supportive care depending on the clinical situation.

Understanding this condition is crucial for managing the patient’s health and providing appropriate counseling about the risks and potential outcomes associated with bleeding in early pregnancy.