A 24-year-old woman presents with lower abdominal pain and vaginal bleeding at 8 weeks gestation by dates. She is haemodynamically stable. Transvagina...

Question

A 24-year-old woman presents with lower abdominal pain and vaginal bleeding at 8 weeks gestation by dates. She is haemodynamically stable. Transvaginal ultrasound shows a live intrauterine pregnancy consistent with 8 weeks and a 3 cm subchorionic haematoma. What is the most appropriate management?

Accepted Answer

Expectant management with reassurance and obstetric follow-up

Answer

Urgent surgical evacuation of the uterus

Answer

Methotrexate therapy

Answer

Anti-D immunoglobulin only

Answer

High-dose progesterone and strict bed rest

au-amc MCQ (SBA): Threatened miscarriage

A 24-year-old woman presents with lower abdominal pain and vaginal bleeding at 8 weeks gestation by dates. She is haemodynamically stable. Transvaginal ultrasound shows a live intrauterine pregnancy consistent with 8 weeks and a 3 cm subchorionic haematoma. What is the most appropriate management?