Regular review: Management of spontaneous miscarriage in the first trimester: an example of putting informed shared decision making into practice

Abstract

Management of spontaneous miscarriage in the first trimester: an example of putting innformed shared decision making into practice Ankum, W.M.; Wieringa-de Waard, M.; Bindels, P.J.E. General rightsIt is not permitted to download or to forward/distribute the text or part of it without the consent of the author(s) and/or copyright holder(s), other than for strictly personal, individual use, unless the work is under an open content license (like Creative Commons). Disclaimer/Complaints regulationsIf you believe that digital publication of certain material infringes any of your rights or (privacy) interests, please let the Library know, stating your reasons. In case of a legitimate complaint, the Library will make the material inaccessible and/or remove it from the website.

A randomized prospective study of misoprostol or mifepristone followed by misoprostol when needed for the treatment of women with early pregnancy failure

“…After the diagnosis of pregnancy failure, surgical evacuation is still commonly performed as early as possible. The reason for this, dating back to the first half of the previous century, was prompt treatment designed to prevent blood loss and infection (4). Another reason for intervention is patient-driven desire to end a nonviable pregnancy.…”

Overview of Retained Products of Conception And its Management

“…Depending on the patient"s general condition, symptoms and size of RPOCs,medical or surgical evacuation is planned. With the advent of high resolution transvaginal sonography, early pregnancy miscarriages have been reclassified into anembryonic pregnancy, early fetal demise, incomplete miscarriage and complete miscarriage [1][2][3][4][5][6][7][8].…”

“…However, this method is not without its inherent complications like the need for emergency surgical evacuation, pain, an increase in induction abortion time, and also an increase in the analgesic requirement [3,5]. ].…”

“…]. Surgical, medical and expectant management are the various options available to manage early pregnancy miscarriages; each with its own merits and demerits [3,4].Complications like anemia, sepsis, drug reaction or those inherent to the surgical procedure should be diagnosed timely and appropriately managed.…”

Can sex during pregnancy cause a miscarriage? A concise history of not knowing

“…2 The two review articles addressing this same subject published in the BMJ within the past decade make no reference to sexual activity. 3,4 Medical opinion and guidance on the subject has been quietly erased. Yet the question of whether sex causes miscarriage remains one that women (and their partners) want answered.…”