A G3P2L1 presents with bleeding pv for 15 days.Usg shows 7 wks live fetus.By lmp,it is 8 wls.what to

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Start her on inj tranexa 1gm stat then 500 mg TDs .Tab duphaston 40 mg stat then 10 mg bd Tab folvite 1 od Antibiotic coverage too Save pads Counsel her about chances of spontaneous miscarriage still there Follow up with amount of bleeding ,repeat scan if ny histry of increseased bleeding or passage of a fleshy mass

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Sometimes there is implantation bleeding so it might be cause so give advice for bed rest Inj lupihcj 5000iu I’m weekly till 14-15 week Tb susten 300 mg Hs or tb duphaston 10 mg bd Even then explain the risk of abortion

Duphaston Bedrest 3 wks Duvadilan Folvite Followup scan

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Fully Bed rest. And tab.folivit, HCG(inj)5000iu weekly once, And repeat USG. After 2 weeks And then Decide,

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Rest/oral progesteron/HCG inj 5000iu weekly once/Repeay USG after 2 weeks. Then decide.

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Bed rest inj.proluton Inj pause Tb endogest Tb folivit