Question

A 28 year old woman at 8 weeks gestation presents with lower abdominal pain and vaginal spotting. She is haemodynamically unstable with a pulse of 120 per minute and blood pressure 80 over 50 mmHg. A urine pregnancy test is positive. What is the most appropriate immediate management?

Accepted Answer

Resuscitate and arrange urgent surgical management for suspected ectopic pregnancy

Answer

Discharge with analgesia and arrange an early pregnancy scan next week

Answer

Treat as threatened miscarriage and advise bed rest

Answer

Start Misoprostol for medical termination

Answer

Give anti D only and review in 48 hours

Practice question

A 28 year old woman at 8 weeks gestation presents with lower abdominal pain and vaginal spotting. She is haemodynamically unstable with a pulse of 120 per minute and blood pressure 80 over 50 mmHg. A urine pregnancy test is positive. What is the most appropriate immediate management?