A 34-year-old G2P1 woman at 8 weeks' gestation presents with vaginal spotting and mild lower abdominal cramping. She is haemodynamically stable. Pelvi...

Question

A 34-year-old G2P1 woman at 8 weeks' gestation presents with vaginal spotting and mild lower abdominal cramping. She is haemodynamically stable. Pelvic ultrasound shows an intrauterine pregnancy with fetal heart activity and a small subchorionic haematoma. What is the most appropriate management?

Accepted Answer

Expectant management with reassurance and follow-up

Answer

Immediate dilation and curettage

Answer

Administer methotrexate

Answer

Administer high-dose misoprostol to induce abortion

Answer

Admit for emergent laparotomy

ca-mccqe1 MCQ (SBA): Threatened miscarriage

A 34-year-old G2P1 woman at 8 weeks' gestation presents with vaginal spotting and mild lower abdominal cramping. She is haemodynamically stable. Pelvic ultrasound shows an intrauterine pregnancy with fetal heart activity and a small subchorionic haematoma. What is the most appropriate management?