1st Tri VB/Abd Pain

Screen Shot 2016-07-07 at 10.35.23 PM

Missed AB

  • 3 management options:
    • Expectant w/ outpt OB f/u
    • Outpt OB f/u for D&C
    • D/c home w/ misoprostol
      • Need definite dx of non-viable fetus that meets criteria to avoid misoprostol for what is an actual viable IUP
      • Need anti-emetic and opioid Rx as well
      • Should bleed no more than “amount to fill a shoe” for 1-2 hrs