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Anti-D after miscarriage — DRCOG MCQ

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HardEarly PregnancyAnti-D after miscarriageDRCOG

An unsensitised RhD-negative woman has surgical management of miscarriage at 11+2 weeks. What anti-D prophylaxis is recommended under current NICE guidance?

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Correct answer: C — Do not offer anti-D prophylaxis at this gestation

The best answer is “Do not offer anti-D prophylaxis at this gestation”. NICE’s June 2026 update advises against anti-D for ectopic pregnancy, miscarriage or threatened miscarriage up to and including 11+6 weeks, including surgical management. This reverses the older procedure-based recommendation and makes the exact gestation decisive.

Reference: NICE NG126: Anti-D immunoglobulin prophylaxis: https://www.nice.org.uk/guidance/ng126/chapter/anti-d-immunoglobulin-prophylaxis