skip to main content

Intrahepatic cholestasis of pregnancy — DRCOG MCQ

Instant feedback + full explanation. One question, done properly.

HardAntenatal CareIntrahepatic cholestasis of pregnancyDRCOG

At 34 weeks, a woman reports markedly reduced fetal movements since yesterday. She has no pain, bleeding or fluid loss and heard a normal rate on a home Doppler. What should the GP advise?

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

Reveal the answer and explanation

Correct answer: E — Attend maternity triage for same-day fetal assessment despite the home Doppler result

The best answer is “Attend maternity triage for same-day fetal assessment despite the home Doppler result”. A marked or persistent reduction in movements after viability needs same-day maternity assessment. A home Doppler may detect a heart rate but cannot establish fetal wellbeing and can create false reassurance. Self-stimulation techniques, delayed scans and movement diaries should not postpone clinical assessment.

Reference: RCOG Green-top Guideline No. 57: Reduced fetal movements: https://www.rcog.org.uk/guidance/browse-all-guidance/green-top-guidelines/reduced-fetal-movements-green-top-guideline-no-57/