A 9-week-pregnant woman presents with light vaginal bleeding and mild lower abdominal discomfort. Her serum hCG is 18 000 IU/L, and transvaginal ultra...

Question

A 9-week-pregnant woman presents with light vaginal bleeding and mild lower abdominal discomfort. Her serum hCG is 18 000 IU/L, and transvaginal ultrasound shows an intrauterine gestational sac with yolk sac but no fetal pole yet. She is haemodynamically stable. What is the most appropriate management?

Accepted Answer

Repeat ultrasound in 7-10 days to assess viability

Answer

Diagnose miscarriage and arrange immediate curettage

Answer

Administer methotrexate for presumed ectopic pregnancy

Answer

Discharge with no follow-up

Answer

Arrange emergency laparotomy

au-amc MCQ (SBA): Threatened miscarriage