Contemporary Management of Early Pregnancy Failure

Abstract

Early pregnancy failure is a common pregnancy complication. This paper reviews the terminology, diagnosis, and treatment of early pregnancy failure. Although surgical curettage has been the standard of care for more than 50 years, additional treatment options exist which appear to be satisfactory to patients. Manual vacuum curettage in the office is an effective alternative to electric vacuum curettage in an operating room. Nonsurgical treatments, including expectant and medical management, are reasonable alternatives depending on the clinical situation and the patient's desires. Clinicians need to understand how these options compare to provide appropriate counseling to patients.

Misoprostol treatment vs expectant management in women with early non‐viable pregnancy and vaginal bleeding: a pragmatic randomized controlled trial

“…The number of patients treated with antibiotics (including those prescribed antibiotics), making unplanned visits, being hospitalized and taking sick-leave was also recorded. A diagnosis of endometritis was assigned to patients with low abdominal or pelvic pain and/or Follow-up day 17 (14)(15)(16)(17)(18)(19)(20)(21) (n = 29) Failed to appear (n = 1) Follow-up day 17 (14)(15)(16)(17)(18)(19)(20)(21) (n = 44) Failed to appear (n = 2)…”

“…Surgical evacuation and medical treatment are alternative methods to empty the uterus after miscarriage, but one can also await spontaneous emptying [13][14][15] .…”

Prise en charge des fausses couches spontanées du premier trimestre

“…Le terme avortement spontané (abortion) doit être abandonné au profit de fausse couche (miscarriage) afin d'éviter les confusions avec les interruptions médicales ou volontaires de grossesse [1,4,5]. On peut classer les échecs précoces de la grossesse (early pregnancy failure ou early pregnancy loss) selon les étapes successives de l'évolution naturelle d'une grossesse dont le développement s'est arrêté (Tableau 1) [1,[4][5][6][7][8].…”

“…On peut classer les échecs précoces de la grossesse (early pregnancy failure ou early pregnancy loss) selon les étapes successives de l'évolution naturelle d'une grossesse dont le développement s'est arrêté (Tableau 1) [1,[4][5][6][7][8]. Celle-ci aboutit dans la majorité des cas à l'expulsion spontanée et complète du produit de FCS de manière retardée par rapport à la mort embryonnaire.…”

Incidence of early pregnancy bleeding in the Eastern region of Saudi Arabia

“…17 The most important finding is fetal cardiac activity, which is typically first detected at 5.5 to 6 weeks. Other important findings are the size and contour of the gestational sac, the presence of a yolk sac, and the fetal heart rate.…”