A 26-year-old woman presents 7 weeks after her last menstrual period with mild vaginal bleeding and crampy lower abdominal pain. Transvaginal ultrasou...

Question

A 26-year-old woman presents 7 weeks after her last menstrual period with mild vaginal bleeding and crampy lower abdominal pain. Transvaginal ultrasound shows an intrauterine gestational sac with a fetal pole and heartbeat. Her haemodynamics are stable. According to SOGC principles for early pregnancy loss and bleeding, what is the most appropriate management?

Accepted Answer

Expectant management with reassurance and follow-up as the pregnancy appears viable

Answer

Urgent dilation and curettage

Answer

Administer methotrexate

Answer

Discharge without follow-up

Answer

Start high-dose NSAIDs for pain without further assessment

ca-mccqe1 MCQ (SBA): Management of early pregnancy bleeding with viable intrauterine pregnancy