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Anti-D after early pregnancy loss — DRCOG MCQ

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ModerateEarly PregnancyAnti-D after early pregnancy lossDRCOG

A 30-year-old rhesus D-negative woman has surgical management of miscarriage at 11 weeks. She has no known red-cell antibodies. The early pregnancy unit asks about anti-D. What is the most appropriate management?

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Correct answer: CGive anti-D immunoglobulin after surgical management

Rhesus D-negative women undergoing surgical management of miscarriage should receive anti-D prophylaxis according to guidance. Non-viability does not remove sensitisation risk. MMR is unrelated to rhesus prophylaxis. Rhesus D-positive women do not need anti-D.

Reference: NICE NG126; BCSH/RCOG anti-D guidance