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Septic miscarriage — DRCOG MCQ

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HardEarly PregnancySeptic miscarriageDRCOG

A 28-year-old woman at 12 weeks presents with fever, worsening lower abdominal pain and heavy bleeding after several days of expectant management for miscarriage. Her pulse is 124/min and blood pressure is 96/60 mmHg. What is the most likely diagnosis?

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Correct answer: D — Septic miscarriage

Fever, tachycardia, hypotension, pain and heavy bleeding after miscarriage suggest septic miscarriage with possible sepsis. Threatened miscarriage does not cause systemic toxicity and shock features. The teaching point is that systemic illness in miscarriage requires emergency escalation.

Reference: NICE NG126; NICE sepsis guidance