Question

A woman presents at 8 weeks gestation with vaginal bleeding and cramping. Ultrasound shows an intrauterine gestational sac but no fetal heartbeat, consistent with a miscarriage. She is hemodynamically stable and prefers expectant management. Which is the recommended initial approach?

Accepted Answer

Await spontaneous passage of products

Answer

Immediate surgical evacuation

Answer

Oral misoprostol

Answer

IV oxytocin infusion

Answer

Blood transfusion and urgent laparotomy

Practice question

A woman presents at 8 weeks gestation with vaginal bleeding and cramping. Ultrasound shows an intrauterine gestational sac but no fetal heartbeat, consistent with a miscarriage. She is hemodynamically stable and prefers expectant management. Which is the recommended initial approach?