At 8 weeks, a woman has light bleeding, a closed cervix and a viable intrauterine pregnancy on ultrasound. She has no previous miscarriage. What

Question

At 8 weeks, a woman has light bleeding, a closed cervix and a viable intrauterine pregnancy on ultrasound. She has no previous miscarriage. What management is recommended?

Accepted Answer

Provide reassurance, routine care and clear return precautions

Answer

Give vaginal progesterone until 16 completed weeks

Answer

Repeat ultrasound every 48 hours until bleeding stops

Answer

Arrange surgical evacuation because bleeding predicts pregnancy loss

Answer

Give anti-D immunoglobulin despite gestation of 8 weeks

Threatened miscarriage — DRCOG MCQ

At 8 weeks, a woman has light bleeding, a closed cervix and a viable intrauterine pregnancy on ultrasound. She has no previous miscarriage. What management is recommended?