SAQ 333 – Obstetrics – early pregnancy bleeding and anembryonic pregnancy

A 24-year-old woman in her first pregnancy presents with light vaginal bleeding and lower abdominal cramps. She has taken folate since a positive urine pregnancy test three weeks ago. Her haemoglobin is 134 g/L, blood group is A negative, and beta-hCG is 6440 IU/L. The transvaginal ultrasound images are shown below.

Observation	Value
Temperature	36.5 C
Heart rate	77/min
Blood pressure	102/67 mmHg

State the diagnosis and comment on viability.

(Marked out of 2.0)

/ 2

List three (3) management options.

(Marked out of 3.0)

/ 3

List two (2) absolute indications for surgical management.

(Marked out of 2.0)

/ 2

State the required anti-D dose and route.

(Marked out of 1.0)

/ 1

Total Score: 0 / 8

Percentage: 0%