Spontaneous Expulsion Of Nonviable in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#11537
SMLE Question #11537
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-ETH-STERIL
Last updated: February 2026
A 22-year-old G2P0 woman at 13 weeks’ gestation attends for routine antenatal care. Her prior pregnancy ended at 22 weeks with spontaneous expulsion of a nonviable fetus. She reports no pain, contractions, or vaginal bleeding before that event, and she was told her cervix was dilated on presentation. She has no history of uterine surgery, cervical procedures, trauma, or uterine anomalies. In this pregnancy, she is asymptomatic and fetal viability is confirmed. What is the most appropriate management to reduce recurrent mid-trimester loss?
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