Septic miscarriage — DRCOG MCQ

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ModerateEarly PregnancySeptic miscarriageDRCOG

A 37-year-old woman has fever, offensive discharge and abdominal pain after early pregnancy loss. When should this patient be referred?

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Reveal the answer and explanation

Correct answer: D — Refer immediately for emergency admission

Refer immediately for emergency admission is the best answer because the vignette is testing Septic miscarriage and the recommended approach is consistent with NICE NG51; NICE NG126. The other referral timings are either too slow for the risk described or use a pathway intended for a different presentation. Specifically, Refer routinely to gynaecology; Refer to specialist contraception services; Refer within two weeks on a suspected cancer pathway; Refer urgently to the early pregnancy unit would be suboptimal in this scenario. Referral timing is determined by red flags, pregnancy stage and suspected cancer or emergency pathways.

Reference: NICE NG51; NICE NG126