Abstract Title:

Expectant management of first-trimester miscarriage.

Abstract Source:

J Obstet Gynaecol. 2009 Nov;29(8):681-5. PMID: 19821656

Abstract Author(s):

M M El-Sayed, S A Mohamed, M H Jones

Article Affiliation:

Department of Obstetrics and Gynaecology, Darent Valley Hospital, Dartford, UK. [email protected]


Miscarriage is the most common complication of pregnancy, which creates a significant workload for health-care professionals. For decades, surgical evacuation of the uterus has remained the conventional treatment of first-trimester miscarriage. Recently, non surgical treatments have been introduced with increasing popularity. This review explores the evidence in support of expectant management of first-trimester miscarriage. It is safe, effective and well-tolerated by women. It enhances women's choice and control. It generates significant cost savings compared with the traditional surgical management. Accurate diagnosis, counselling, 24/7 telephone advice and follow-up are among the important aspects of expectant management. More studies are needed to develop methods for identifying miscarriages suitable for expectant management.

Study Type : Review

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