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Persistent positive pregnancy test after abortion — DRCOG MCQ

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HardEarly PregnancyPersistent positive pregnancy test after abortionDRCOG

After an early medical abortion with expulsion at home, a woman is well and asks how ongoing pregnancy is excluded. Which follow-up can be offered?

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

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Correct answer: D — Self-assessment using the supplied low-sensitivity pregnancy test

The best answer is “Self-assessment using the supplied low-sensitivity pregnancy test”. NICE offers self-assessment, including remote assessment, after early medical abortion and provides a low-sensitivity or multi-level urine test to exclude ongoing pregnancy. Routine ultrasound or serial serum hCG is unnecessary when recovery and the supplied test are reassuring.

Reference: NICE NG140: Abortion care: https://www.nice.org.uk/guidance/ng140/chapter/recommendations