A 34-year-old woman presents to the GP with a missed miscarriage diagnosed at the EPAU (embryo measuring 20 mm with no cardiac activity). She is at 10...

Question

A 34-year-old woman presents to the GP with a missed miscarriage diagnosed at the EPAU (embryo measuring 20 mm with no cardiac activity). She is at 10 weeks of gestation and is clinically stable. She prefers to avoid intervention if possible. Which is the single most appropriate management?

Accepted Answer

Offer expectant management - advise that the miscarriage may complete naturally, with a review in 7-14 days if not

Answer

Immediate surgical evacuation is mandatory

Answer

Medical management with mifepristone and misoprostol is the only safe option

Answer

She must be admitted to hospital for observation

Answer

Prescribe oral methotrexate

uk-drcog MCQ (SBA): Expectant Management of Missed Miscarriage

A 34-year-old woman presents to the GP with a missed miscarriage diagnosed at the EPAU (embryo measuring 20 mm with no cardiac activity). She is at 10 weeks of gestation and is clinically stable. She prefers to avoid intervention if possible. Which is the single most appropriate management?