Question

A 36 year old primigravida at 10 weeks gestation presents with painless vaginal bleeding. Ultrasound shows an intrauterine pregnancy with a crown rump length consistent with 10 weeks but no fetal heart activity, consistent with missed miscarriage. Her blood group is O Rhesus negative. According to NICE miscarriage and abortion guidance, what is the appropriate recommendation regarding anti D prophylaxis?

Accepted Answer

Anti D prophylaxis should be offered because she is Rhesus negative and is likely to undergo surgical management

Answer

No anti D prophylaxis is required in any miscarriage

Answer

Anti D prophylaxis should be offered to all Rhesus negative women having any vaginal bleeding in pregnancy

Answer

Anti D prophylaxis is only required after 20 weeks gestation

Answer

Anti D prophylaxis is not required if managed medically

Practice question