A 25-year-old G1 at 8-1/7-week gestation by last menstrual period and a 7-week ultrasound presented with vaginal bleeding that occurred this morning. She noticed a small amount of bleeding and the presence of a blood clot in her vagina. She denied pain and acute distress. She is afebrile with no abnormal hemodynamics. Minimal coagulated blood in the posterior vagina and a visible closed cervix was revealed in the pelvic examination.
Transvaginal ultrasound revealed retained products of conception however, fetal heart tones were absent. HCT: 39% Rh factor: negative What medication(s) and dosage would you recommend for the management of her miscarriage? Source: UW School of Medicine, weekly case quizzes *This is a hypothetical case by the Docplexus Editorial Team for educative purposes only. The answer will be posted soon!
