A 30-year-old woman at 10 weeks' gestation presents with vaginal bleeding and cramping. Ultrasound shows an intrauterine pregnancy with a crown-rump l...

Question

A 30-year-old woman at 10 weeks' gestation presents with vaginal bleeding and cramping. Ultrasound shows an intrauterine pregnancy with a crown-rump length corresponding to 9 weeks but no fetal cardiac activity on two scans a week apart. She is haemodynamically stable and Rh positive. According to SOGC early pregnancy loss guidance, which management option is appropriate to offer?

Accepted Answer

Medical management with mifepristone and misoprostol

Answer

Expectant management alone

Answer

Suction curettage only

Answer

Immediate hysterectomy

Answer

No treatment is needed; this is normal in early pregnancy

ca-mccqe1 MCQ (SBA): Early pregnancy loss - management options