TREATMENT PLAN
TREATMENT PLAN
Primary Care:
- Expectant management with monitoring
- Repeat pregnancy test
- Return if bleeding continues/pain develops
Secondary Care:
- Medical management:
Mifepristone + misoprostol for missed miscarriage
Misoprostol alone for incomplete miscarriage
- Surgical intervention when indicated
- Anti-D antibodies for Rh-negative women post-surgical intervention/hyperemesis
Referral Criteria:
- Immediate admission: haemodynamic instability
- Early Assessment Unit: positive pregnancy test with pain/bleeding
- Early Pregnancy Assessment Unit: bleeding + pain + >6 weeks/uncertain gestation
- Recurrent cases: refer for investigation