Two Painless Pregnancy Losses in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#16813
SMLE Question #16813
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-ETH-STERIL
Last updated: February 2026
A 26-year-old primigravida at 8 weeks’ gestation attends an antenatal clinic with a history of two painless pregnancy losses at 18 and 20 weeks. In both pregnancies, she noted pelvic pressure followed by expulsion without contractions. She is currently asymptomatic. Transvaginal ultrasound shows a viable intrauterine pregnancy consistent with dates and a closed cervix without funneling. What is the most appropriate management at this stage of pregnancy?
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