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Missed miscarriage — DRCOG MCQ

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HardEarly PregnancyMissed miscarriageDRCOG

A 31-year-old has a 9-week scan confirming missed miscarriage and chooses medical management. Which approach is most appropriate?

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Correct answer: E — Offer mifepristone, misoprostol and follow-up

Medical management of confirmed missed miscarriage uses mifepristone followed by misoprostol. Counselling must include bleeding, pain, when to seek help and a pregnancy test after treatment; methotrexate and ulipristal have no role.

Reference: NICE NG126: Ectopic pregnancy and miscarriage: https://www.nice.org.uk/guidance/ng126/chapter/management-of-miscarriage