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hemorrhage is a key complication flag for O03.1, O03.6 Pelvic/lower abdominal cramping or pain: Uterine contractions expelling products of conception Passage of tissue: Products of conception, gestational sac, or placental tissue — indicates expulsion Closed cervical os with bleeding: Hallmark of threatened abortion (O20.0) Open/dilated cervical os: Indicative of inevitable or incomplete abortion Fever, chills, uterine tenderness: Signs of septic abortion (O03.0, O03.5) — requires urgent intervention Hypotension, tachycardia: May indicate septic shock (O03.0, O03.5) or hemorrhagic shock Absent fetal cardiac activity on ultrasound with no bleeding: Classic presentation of missed abortion (O02.1) Nausea, vomiting: Non-specific