FCOG-1080

A patient, in her third pregnancy with a history of two consecutive spontaneous abortions, presents at 12 weeks of gestation. She has had regular menstrual cycles, lasting 30 days in duration. Just prior to coming for her assessment, she reports passing a moderate amount of blood with clots per vaginally along with some intermittent lower abdominal pain. On examination, her cervical canal readily admitted one finger. Bimanual palpation found a uterus corresponding to the size of a pregnancy of 8 weeks duration. Which is the most appropriate next step in managing this patient?