This week's #ISUOGEducation quiz question comes from A/Prof. Conrado Coutinho🤩 , who will be chairing our course 'Point of care ultrasound in obstetrics and gynecology: from ambulatory to emergency settings', taking place Sunday 7 June. A 29-year-old G2P1 woman at 30 weeks presents to the emergency department with painful uterine contractions every 7–10 minutes for the last 90 minutes. She has no vaginal bleeding or loss of fluid, and the cardiotocography is reassuring. On speculum and digital examination, the cervix feels closed and of normal length, but she is very anxious about the possibility of preterm birth. What should be your next step in management? A. Start tocolysis and administer antenatal corticosteroids immediately B. Reassure the patient and discharge her without further tests C. Perform a bedside point-of-care transvaginal ultrasound to measure cervical length D. Admit the patient for strict bed rest and observation Comment your answer and come back next week to see if you were right ✨ ❗Don't miss your chance to join A/Prof. Conrado Continho and Prof. Asma Khalil live at our upcoming course, Point of care ultrasound in obstetrics and gynecology: from ambulatory to emergency settings. Register here > bit.ly/4v9ABpy #LoveUltrasound #ISUOG2026 #PoCUS

🌏 On #WorldPreeclampsiaDay we have a very interesting #ISUOGEducation quiz question from Dr Nuruddin Mohammed... A 37-year-old nulliparous woman presents to a rural health centre for her first antenatal visit at 13 1 weeks of gestation. The setting has limited resources and no ultrasound facility available. First-trimester assessment for prediction of preterm pre-eclampsia was performed by the midwife, obtaining demographic characteristics and simultaneous blood pressure measurements from both arms. The parameters were entered into the Fetal Medicine Foundation software, which calculated her risk for preterm pre-eclampsia as 1:50. The nearest facility for uterine artery Doppler assessment is located at a tertiary referral hospital approximately three hours away. What is the next step in her management? A. Classify the patient as being at high risk for preterm pre-eclampsia and initiate intensified antenatal surveillance. B. Refer the patient to the tertiary referral centre for uterine artery Doppler assessment. C. Initiate low-dose aspirin (150 mg) at night and continue until 36 weeks of gestation. D. Reassure the patient and repeat pre-eclampsia risk assessment during the second trimester. Comment your answer below and check back next week to see if you answered correct! #preeclampsiaawareness #maternalhealth #pregnancycare #antenatalvisit #healthresources #medicalquiz #FetalMedicine #womenshealth