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Medical CaseAccuracy 3.9/5

Adele Webber: Miscarriage, Placental Abruption, Bleeding, and D&C

Adele has vaginal bleeding, ultrasound shows a slow fetal heartbeat, fluids are given, and later instability leads to D&C for miscarriage and placental abruption.

In Plain English

Adele has bleeding in pregnancy. The initial ultrasound shows a slow heartbeat, but later she becomes unstable and is taken to the OR for D&C.

What Happened in the Episode

Adele Webber is documented in the episode medical notes with diagnosis: Miscarriage, Placental abruption. Treatment listed for the case includes Dilation and curettage. *Diagnosis: **Miscarriage **Placental abruption *Doctors: **Richard Webber (general surgeon) **Addison Forbes Montgomery (fetal surgeon) **Meredith Grey (surgical intern) *Treatment: **Dilation and curettage Adele had vaginal bleeding. Addison did an ultrasound and found a fetal heartbeat, but it was slow. She gave fluids and they waited for the heartbeat to return to normal. When she became unstable later, she was taken to the OR for a D&C.

Clinical Concept

Miscarriage, Placental Abruption, Vaginal Bleeding, and D&C

What ER Teams Would Evaluate

A real team would assess maternal vital signs, bleeding amount, abdominal pain, gestational age, ultrasound findings, fetal status when applicable, blood count, blood type and Rh status, and coagulation or hemorrhage risk.

Treatment and Management Overview

Management may include IV access, fluids, blood products if needed, obstetric monitoring, emotional support, and D&C or other uterine evacuation when clinically indicated.

What TV Gets Right

The episode connects bleeding and instability with urgent obstetric reassessment rather than treating it as routine spotting.

What TV Compresses

The episode compresses counseling, Rh testing and treatment when indicated, serial ultrasound/lab follow-up, consent, and grief support.

Sources and Further Reading