A 32-year-old woman presents at 8 weeks gestation with mild vaginal spotting for 2 days. Ultrasound shows a viable intrauterine pregnancy with a small subchorionic hematoma. The cervical os is closed. She is hemodynamically stable. What is the recommended management?
- A Immediate surgical evacuation
- B Progesterone supplementation is mandatory
- C Pelvic rest and follow-up in 1-2 weeks ✓
- D Hospital admission for observation
Correct answer: C. Pelvic rest and follow-up in 1-2 weeks
Explanation
This is a threatened abortion with confirmed fetal viability and closed os. Management is expectant: pelvic rest, avoidance of intercourse, and follow-up ultrasound in 1-2 weeks. Most threatened abortions with confirmed viability result in live births. Progesterone supplementation may be considered but is not mandatory in all cases per current evidence. Hospital admission and surgical evacuation are unnecessary with stable vitals and a viable pregnancy.
Reference: Williams Obstetrics, 26th ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
Written and medically reviewed by the StethoPrep medical team.