Women opt for expectant management of miscarriage

In an observational study of 1096 consecutive patients with a suspected first trimester miscarriage, Luise and colleagues (p 873) found that 70% of women chose expectant management when it was offered, rather than electing for immediate surgical removal of retained products identified by transvaginal ultrasonography. Eighty one per cent went on to complete their miscarriage without the need of intervention. The authors conclude that patients should be encouraged to persevere with expectant management, and they call for more research to validate the use of ultrasonography in defining an outcome measure for complete miscarriage.

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Relevant Article

Outcome of expectant management of spontaneous first trimester miscarriage: observational study

Ciro Luise, Karen Jermy, Caroline May, Gillian Costello, William P Collins, and Thomas H Bourne
BMJ 2002 324: 873-875. [Abstract] [Full Text] [PDF]