Question

A 27-year-old woman, 6 weeks post-partum, presents with fever, right upper quadrant pain and hypotension. Ultrasound confirms retained products of conception with infection. She is tachycardic with a NEWS2 score of 8. What is the most appropriate immediate management?

Accepted Answer

Intravenous broad-spectrum antibiotics and urgent senior obstetric review

Answer

Give oral antibiotics and arrange elective evacuation

Answer

Urgent transfer to theatre for evacuation only

Answer

Discharge with analgesia and safety-netting

Answer

Wait for vaginal swab results before treatment

Practice question

A 27-year-old woman, 6 weeks post-partum, presents with fever, right upper quadrant pain and hypotension. Ultrasound confirms retained products of conception with infection. She is tachycardic with a NEWS2 score of 8. What is the most appropriate immediate management?