A 29 year old woman attends the early pregnancy unit with painless vaginal bleeding at 10 weeks. Ultrasound shows a missed miscarriage with a non viab...

Question

A 29 year old woman attends the early pregnancy unit with painless vaginal bleeding at 10 weeks. Ultrasound shows a missed miscarriage with a non viable intrauterine pregnancy. She is clinically stable and wishes to avoid surgery if possible. What is the most appropriate management option to offer?

Accepted Answer

Medical management with vaginal or oral Misoprostol

Answer

Immediate surgical evacuation for all cases

Answer

Expectant management is contraindicated

Answer

High dose antibiotics alone

Answer

Discharge without follow up

uk-plab-1 MCQ (SBA): Missed miscarriage

A 29 year old woman attends the early pregnancy unit with painless vaginal bleeding at 10 weeks. Ultrasound shows a missed miscarriage with a non viable intrauterine pregnancy. She is clinically stable and wishes to avoid surgery if possible. What is the most appropriate management option to offer?