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Incomplete miscarriage — DRCOG MCQ

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ModerateEarly PregnancyIncomplete miscarriageDRCOG

A 34-year-old woman at 10 weeks' gestation has heavy bleeding that is settling. Ultrasound shows retained products of conception and no fetal heartbeat. She is stable and has no fever. What would you advise?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: B — Discuss expectant, medical and surgical management options

Stable women with miscarriage should be offered information and choice among expectant, medical and surgical management, depending on clinical circumstances and preference. Methotrexate treats ectopic pregnancy, not intrauterine miscarriage. Follow-up is needed to confirm completion and provide support. Antibiotics alone do not evacuate retained pregnancy tissue unless infection is also present.

Reference: NICE NG126