Question

A 22-year-old primigravida at 7 weeks’ gestation presents with lower abdominal pain and light vaginal spotting. She is haemodynamically stable. A urine pregnancy test is positive. There is no significant past medical history. What is the most appropriate next step?

Accepted Answer

Arrange urgent transvaginal ultrasound to exclude ectopic pregnancy

Answer

Reassure that this is normal and discharge without follow-up

Answer

Start oral Misoprostol for presumed miscarriage

Answer

Advise bed rest and no further investigation

Answer

Offer immediate suction curettage

Practice question

A 22-year-old primigravida at 7 weeks’ gestation presents with lower abdominal pain and light vaginal spotting. She is haemodynamically stable. A urine pregnancy test is positive. There is no significant past medical history. What is the most appropriate next step?