A 26-year-old woman attends the GP following an early pregnancy assessment unit visit where she was diagnosed with a missed miscarriage at 9 weeks (em...

Question

A 26-year-old woman attends the GP following an early pregnancy assessment unit visit where she was diagnosed with a missed miscarriage at 9 weeks (embryo measuring 7 mm with no cardiac activity). She is clinically stable with minimal bleeding. She would prefer to avoid surgery. Which is the single most appropriate management option to offer?

Accepted Answer

Oral mifepristone followed by vaginal misoprostol 24-48 hours later

Answer

Expectant management with review at 7-14 days

Answer

Vaginal misoprostol only

Answer

Surgical management under general anaesthesia

Answer

Oral misoprostol only

uk-drcog MCQ (SBA): Medical Management of Miscarriage