A 32-year-old woman at 22 weeks of gestation presents to the GP following a fall down three steps. She landed on her buttocks and has mild lower back ...

Question

A 32-year-old woman at 22 weeks of gestation presents to the GP following a fall down three steps. She landed on her buttocks and has mild lower back pain but no abdominal pain, vaginal bleeding, or change in fetal movements. She is Rhesus D negative. Her observations are normal. Which is the single most appropriate management?

Accepted Answer

Administer anti-D immunoglobulin, arrange a Kleihauer test, and advise attendance at the maternity unit if any concerning symptoms develop

Answer

No action needed as the fall was minor

Answer

Admit for 24-hour CTG monitoring

Answer

Arrange an emergency caesarean section

Answer

Prescribe bed rest for 2 weeks

uk-drcog MCQ (SBA): Minor Fall in Rh Negative Pregnancy - Anti-D