Breaking uncertain news in early pregnancy — communication station

A 29-year-old woman attends the early pregnancy assessment service alone. She is 6 weeks by dates, has had two days of light bleeding and mild cramping, and is well. Her transvaginal scan shows an empty uterus with no adnexal mass and no free fluid; her serum hCG is 1120 IU/L. She has been waiting two hours and believes she is here to be told whether the baby is alive. You must explain the result, the plan and the safety net, and obtain her agreement to it.