| :: |
Medical treatment is usually not necessary |
| :: |
Advise
the woman to avoid strenuous activity and sexual intercourse,
but bed rest is not necessary |
| :: |
If
bleeding stops, follow up in antenatal clinic |
| :: |
Reassess
if bleeding recurs |
| :: |
If
bleeding persists, assess for fetal viability or ectopic
pregnancy (ultrasound); persistent bleeding, particularly
in the presence of a uterus larger than expected, may
indicate twins or molar pregnancy |
| :: |
Do
not give medications such as hormones (e.g. oestrogens
or progestins) or tocolytic agents (e.g. salbutamol or
indomethacin) as
they will not prevent miscarriage. |
