Question

A 29-year-old woman at 8 weeks’ gestation presents with sudden onset severe lower abdominal pain and dizziness. She has had light vaginal spotting. Her blood pressure is 80/50 mmHg and pulse 120 bpm. A urine pregnancy test is positive. What is the most appropriate immediate management?

Accepted Answer

Urgent laparoscopic surgical management with resuscitation for suspected ruptured ectopic pregnancy

Answer

Request a routine pelvic ultrasound in 2 weeks

Answer

Discharge with oral analgesia and return if pain worsens

Answer

Start oral misoprostol for medical management of miscarriage

Answer

Arrange a serum beta-hCG and repeat in 48 hours before deciding

Practice question

A 29-year-old woman at 8 weeks’ gestation presents with sudden onset severe lower abdominal pain and dizziness. She has had light vaginal spotting. Her blood pressure is 80/50 mmHg and pulse 120 bpm. A urine pregnancy test is positive. What is the most appropriate immediate management?