Modern management of miscarriage

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.