BMJ 1995;311:813 (23 September)

Letters

Hospital management commended for first trimester spontaneous abortion

EDITOR,--I expected Kevin Forbes to find room in his editorial on the management of first trimester spontaneous abortions for two important aspects of the condition--the psychological and the paediatric.1 His concentration on physical maternal factors omits to consider how a previously expectant mother may feel about continuing with a non-viable pregnancy for any longer than is necessary. The prospect of the abortion becoming complete in the home environment and the uncertainty over when or where this will happen are burdens that many women may not wish to contemplate. The best management that I have come across includes a clear discussion of the prospects, with the patient participating in the decision on whether evacuation is desirable. This may have beneficial effects on coping during what would have been the remaining gestation and at a similar stage in future pregnancies and is surely grounds for a controlled study.

From a paediatric prospective, . . . [Full text of this article]


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Relevant Article

Management of first trimester spontaneous abortions
Kevin Forbes
BMJ 1995 310: 1426. [Extract] [Full Text]

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