A female has history of 6 weeks amenorrhea, USG shows empty sac, serum p-hCG 6500 lU/L. What would be next management?
If the uterine size is less than the 12 weeks of gestation,misoprostol tablets kept in the vagina usually results in spontaneous expulsion without the need for surgical intervention.Sometimes suction evacuation may be necessary.(refer pgno:147 sheila obstetrics 2 nd edition)
Medical management
Repeat hCG after 48 hours
Repeat hCG after 1 weeks
Surgical management
General obstetrics