A woman experiencing vaginal bleeding and cervical dilation at 11 weeks gestation is most likely experiencing which condition?

At 11 weeks gestation, a woman presenting with vaginal bleeding and cervical dilation is most indicative of an inevitable abortion. This condition is characterized by the presence of vaginal bleeding along with cervical changes, specifically dilation. The occurrence of cervical dilation signifies that the body is undergoing a process toward miscarriage, and since the bleeding is present, it indicates that the abortion is imminent but has not yet fully occurred.

In contrast, a threatened abortion typically involves vaginal bleeding without cervical dilation, meaning the pregnancy might still be viable. An incomplete abortion refers to a situation where some but not all of the products of conception have been expelled from the uterus, which often occurs later in the miscarriage process. A complete abortion occurs when all products have been expelled and typically presents with a cessation of bleeding and no cervical dilation.

Understanding these distinctions helps clarify the scenario, as the presence of both bleeding and cervical dilation aligns clearly with an inevitable abortion diagnosis.