Talk:Early pregnancy bleeding

Wiki Education Foundation-supported course assignment

This article was the subject of a Wiki Education Foundation-supported course assignment, between 3 March 2020 and 28 March 2020. Further details are available on the course page. Student editor(s): 76jualendal. Peer reviewers: Phalliday47.

Above undated message substituted from Template:Dashboard.wikiedu.org assignment by PrimeBOT (talk) 20:23, 17 January 2022 (UTC)

Definitions

There are several terms relevant to this page whose definitions in the literature are overlapping/unclear and thus merit discussion. Many Wikipedia pages use the terms "spontaneous abortion" and "miscarriage," often to refer in some way or another to a nonviable fetus. The abortion Wikipedia page states that an "abortion that occurs without intervention is known as a miscarriage or spontaneous abortion," thereby equating "miscarriage" and "spontaneous abortion." The Wikipedia page on "miscarriage" says that this term is "also known as spontaneous abortion and pregnancy loss" and refers to "the natural death of an embryo or fetus before it is able to survive independently," thereby equating "miscarriage," "abortion," and "pregnancy loss." Recent literature on this topic (e.g., UpToDate, ACOG guidelines) often uses "early pregnancy loss" (and sometimes "pregnancy loss") instead of "spontaneous abortion" or "miscarriage." An additional layer of confusion is added because the medical literature has always considered a "spontaneous abortion" to comprise six different types: "threatened, inevitable, incomplete, complete, missed and septic.". Putting this altogether, "(early) pregnancy loss" thereby includes "threatened abortion" even though "threatened abortion" can still result in a viable outcome. The fact that "threatened abortion" is included under the umbrella of "pregnancy loss" is also demonstrated in the cited 2016 AFP article, which mentions in its background section, "Complications of miscarriage, including threatened miscarriage and ectopic pregnancy, are the most common diagnoses.". There is no easy way to reconcile these definitions. @Doc James, it is because of these definitions, which I attempted to clarify in the differential diagnosis section, that I ultimately substituted "threatened abortion" with the more general term of "pregnancy loss" in the infobox. As a side note, I also sought to remove "miscarriage" and "abortion" language from the page in favor of what appears to be the newer/favored terminology of "early pregnancy loss." Others may have different thoughts about how to approach these issues. 76jualendal (talk) 01:02, 27 March 2020 (UTC)

References

Student Workplan

Student Editing Work Plan for WikiMed UCSF Course (4 weeks): (1) Set up page in line with Manual of Style for "signs or symptoms" by the end of week 1. (2) Locate relevant content in ACOG Practice Bulletins or other society guidelines during weeks 1, 2, and 3. (3) Fill out at least 2 sentences for "definition" and 2 sentences for "differential diagnoses" by end of week 2. (4) Fill out at least 2 sentences for "diagnostic approach or evaluation," 2 sentences for "epidemiology," and 2 sentences for treatment or management" by end of week 3. (5) Modify goals for final 2 weeks in line with progress at end of week 2. (6) Attempt to interlink related Wikipedia articles (e.g., "obstetric bleeding"). (7) Review classmate's peer review and make suggested edits by end of week 4. (8) Respond to all other comments and critiques on this Editing Talk page within the 4 weeks.76jualendal (talk) 14:52, 5 March 2020 (UTC)

Peer review

Introduction – Really like that you have lots of good citations and that there are plenty of hyperlinks to other articles. It’s broken up nicely into concise paragraphs that hit the major concepts. The writing style is terse and factual, which works for getting your points across in a Wikipedia article that the reader is typically scanning quickly.

Differential diagnosis – I like how it’s broken up and by first and second trimester causes. The use of bullets is nice. There are obviously many causes of early pregnancy bleeding and I like that you’ve provided one or two sentences detailing each – it’s a good amount of information that does not overwhelm the reader and enhances readability.

Diagnostic approach – I like how this section reads and it has an appropriate amount of information. Perhaps try for a few more citations.

Management – Great information so far. Perhaps try fleshing things out a bit more. Not sure how difficult it would be to get some sort of visual aid on Wikipedia – something along the lines of a treatment flow-chart?

Epidemiology/Pathophysiology – Not sure if you’re looking to develop these sections, but obviously room to expand if desired

Other thoughts – I’d consider adding some pictures and/or figures where you see fit.

Awesome job expanding on an article that was essentially a stub, you’ve put in a lot of great work! Great job linking things to other articles – was a good reminder for me to do the same. — Preceding unsigned comment added by Phalliday47 (talk • contribs) 19:47, 22 March 2020 (UTC)

Reviewer 2 Introduction: great job summarizing the condition in the begging of the article -it makes it easier for the reader to grasp a general idea.

Differential diagnosis: great organization. Consider changing "differential diagnosis" to a more common term (e.g., "diagnosis")

Diagnostic approach: is there a way to bullet point these ideas in a more concise way?

Epidemiology: consider expanding this section a little more; perhaps some more statistics about prevalence.

Overall great job! thanks for working on this. — Preceding unsigned comment added by Perez.mathieu (talk • contribs) 22:20, 17 September 2022 (UTC)

Feedback from Mikaroni888: Pathophysiology: - Good overview, but I felt like there was a good amount of jargon (ex: lesion, fetoplacental). I did like how your group linked definitions for the more complicated terms/medical conditions. I would like to see more linking if a jargony word cannot be avoided. Maybe even considering renaming the title to "mechanism of disease," to reduce jargon even further.

Diagnostic Approach: - great overview of the steps a doctor would take to evaluate the bleeding, very thorough -I also notice a good amount of jargon in this section. As above, I would like to see linked definitions, or simpler terms to make it eaiser for a non-medical person to read (ex: hemodynamically stable --> medically stable pregnant person/ vital signs such as BP and HR are normal) - I would suggest starting the section with the first sentence of the second paragraph, since the sentence is a great way to orient the reader to the broadest organization of the section -Perhaps you could break the section down even further, having subheadings for Physical Exam, Imaging Options, Common Labs Ordered, etc to make it easier to navigate

Feedback from prt492: I am reviewing the Management and Epidemiology sections.

Management: I think that this section provides a great brief overview of early pregnancy bleeding management. There was some medical jargon used in this section, however, I understand that some of these are lab names and you have provided links for clarification. One area that you could expand on are the contraindications to methotrexate therapy that is brought up in the last paragraph.

Epidemiology: One area you can touch on for this section are the risk factors that may increase the chances of early pregnancy bleeding. You could also add statistics on how common early pregnancy bleeding is for the first trimester. — Preceding unsigned comment added by Prt492 (talk • contribs) 16:44, 19 September 2022 (UTC)

Wiki Education assignment: UCSF SOM Inquiry In Action-- Wikipedia Editing 2022

This article was the subject of a Wiki Education Foundation-supported course assignment, between 8 August 2022 and 20 September 2022. Further details are available on the course page. Student editor(s): HumbleInquiry, Angelah24, Shiz2theRa, Taylorrh (article contribs). Peer reviewers: Curiouscapybara, Shwetaamyychawla, Prt492, Mikaroni888, Perez.mathieu.

— Assignment last updated by Prt492 (talk) 11:05, 17 September 2022 (UTC)