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Threatened miscarriage — DRCOG MCQ

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EasyEarly PregnancyThreatened miscarriageDRCOG

A 30-year-old woman at 8 weeks has light spotting after intercourse. She has no pain, is haemodynamically stable and ultrasound confirms a viable intrauterine pregnancy with fetal heartbeat. What would you advise?

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

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Correct answer: D — Explain that this is threatened miscarriage and give safety-netting

A viable intrauterine pregnancy with bleeding and a closed cervix is threatened miscarriage. Reassurance with clear return precautions is appropriate, and progesterone is considered in selected women with bleeding and previous miscarriage rather than universally. Bed rest has no proven benefit. The pearl is that the presence of a heartbeat improves prognosis but does not remove the need for safety-netting.

Reference: NICE NG126