instruction: hello doctor one of my relative aged about 36 years married for years undergone frozen embryo transfer on 14th march and she got positive beta hug human chorionic gonadotropin on 25th she developed vaginal bleeding from ith april varying from light spotting to moderate bleeding on three occasions she was given tranexamic acid for three days on two occasions and this time also advised to take the same she is advised to stop aspirin and enoxoparin which she was on even prior to embryo transfer her scan is showing gestational age of weeks days with fetal heartbeat and such of am she is on duphaston 10 my qid austen 400 qid progynova my qid folic acid mecobalamin aspirin and enoxaparin 60 my daily which she stopped today please advice further management
output: hello welcome to iclinq com I can understand the struggle she is going through the such subchorionic hematoma is big yet the positive thing is fetal growth of weeks with for fetal heart rate she is on the right medications and I would like to add an antibiotic like augmenting 625 my along with the medication she is already on medication for five days to avoid infected subchorionic hematoma as its big am nothing more could be done let her stay at rest with a sound and a happy mind threatened abortion threatened abortion reassurance continue the same treatment with just an added antibiotic rest and stay positive