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Modern management of miscarriage

^1. Department of Obstetrics and Gynaecology Nobles Hospital Isle of Man, IM4 4RJ, UK Email: harithas{at}hotmail.com (corresponding author)
^2. Department of Obstetrics and Gynaecology Nobles Hospital Isle of Man, IM4 4RJ, UK

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.

Keywords early pregnancy assessment units / expectant management / medical management / miscarriage / surgical evacuation