Abstract
Key content • Miscarriage has traditionally been treated by surgical evacuation, on the assumption that any retained tissue increases the risk of infection and haemorrhage. • Over the last decade, effective non‐surgical alternatives have been advocated to minimise unnecessary surgical intervention while maintaining low rates of morbidity and mortality. • Improved access to early pregnancy assessment units and greater awareness among women has led to increasing demand for more conservative management of miscarriage. Learning objectives • To learn about the use of appropriate miscarriage terminology. • To learn about the advantages and disadvantages of expectant, medical and surgical management. • To understand that women's choice is paramount in planning treatment. Ethical issues • Guidance on the sensitive disposal of fetal remains is essential. Please cite this article as: Sagili H, Divers M. Modern management of miscarriage. The Obstetrician & Gynaecologist 2007;9:102–108.
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