Question

A 10-week pregnant woman presents with vaginal bleeding and mild cramping. Cervical os is closed and ultrasound shows a viable intrauterine pregnancy with fetal heartbeat. What is the most appropriate management?

Accepted Answer

Expectant management with reassurance and safety-net advice

Answer

Immediate evacuation of retained products of conception

Answer

Start Methotrexate

Answer

Administer Anti-D immunoglobulin regardless of blood group

Answer

Advise bed rest until delivery

Practice question

A 10-week pregnant woman presents with vaginal bleeding and mild cramping. Cervical os is closed and ultrasound shows a viable intrauterine pregnancy with fetal heartbeat. What is the most appropriate management?