At 8 weeks, a woman has light bleeding without pain. Ultrasound shows a viable intrauterine pregnancy and a small subchorionic haematoma; the cervix

Question

At 8 weeks, a woman has light bleeding without pain. Ultrasound shows a viable intrauterine pregnancy and a small subchorionic haematoma; the cervix is closed. She previously had three miscarriages. Which plan best follows NICE?

Accepted Answer

Offer vaginal micronised progesterone and continue if fetal heartbeat persists

Answer

Arrange uterine evacuation if bleeding persists beyond 48 hours

Answer

Repeat hCG twice weekly until bleeding stops despite the confirmed viable intrauterine pregnancy

Answer

Prescribe bed rest and stop normal activity until the anomaly scan

Answer

Use expectant management without progesterone because fetal cardiac activity is present

Threatened miscarriage — DRCOG MCQ

At 8 weeks, a woman has light bleeding without pain. Ultrasound shows a viable intrauterine pregnancy and a small subchorionic haematoma; the cervix is closed. She previously had three miscarriages. Which plan best follows NICE?