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Rhesus prophylaxis after miscarriage — DRCOG MCQ

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HardEarly PregnancyRhesus prophylaxis after miscarriageDRCOG

Histology after uterine evacuation confirms a complete molar pregnancy. The woman is clinically well. What follow-up arrangement is required?

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Correct answer: C — Registration with a trophoblastic centre for serial hCG surveillance

The best answer is “Registration with a trophoblastic centre for serial hCG surveillance”. All molar pregnancies require registration with a specialist gestational trophoblastic disease centre and serial hCG surveillance. The pattern and duration of follow-up depend on mole type and hCG regression; plateauing or rising hCG may indicate persistent disease requiring specialist treatment.

Reference: RCOG Green-top Guideline No. 38: Gestational trophoblastic disease: https://www.rcog.org.uk/guidance/browse-all-guidance/green-top-guidelines/gestational-trophoblastic-disease-green-top-guideline-no-38/