More units dedicated to women presenting with miscarriage are needed

doi:10.1136/bmj.324.7352.1526

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Susan Logan, specialist registrar in obstetrics and gynaecology,
Julie Browne, medical student,
Siladitya Bhattacharya (ogy167@abdn.ac.uk), senior lecturer

Department of Obstetrics and Gynaecology, Aberdeen Maternity Hospital, Aberdeen AB25 2ZD

EDITOR—Luis et al report that most women with miscarriage choose expectant management and that over 80% will require no surgical intervention.1 Their population was monitored for up to 46 days, with 60% of all miscarriages and 72% of missed or anembryonic pregnancies requiring follow up for over one week. They conclude that as complications were minimal patients should be encouraged to persevere with expectant management. These results look promising, but two important issues—the role of the dedicated miscarriage unit and infective …