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Management of anembryonic pregnancy loss: an observational study
Ying-Ti Huang1, Shang-Guo Horng, Fa-Kung Lee
1Division of Obstetrics and Gynecology, Hsinchu Cathay General Hospital, Hsinchu, Taiwan, R.O.C.
Background:
This study was undertaken to determine if expectant management with a longer waiting period is an effective and safe option for women with anembryonic pregnancy.
Methods:
Women with an ultrasound diagnosis of anembryonic pregnancy were offered the option of expectant management with a 3-week waiting period or surgical evacuation according to their preference.
Results:
A total of 121 women with anembryonic pregnancies participated in the study; 45 of them elected expectant management. The overall success rate was 83.3% in the expectant group and 97.3% in the surgical group. No significant complications were noted in either group.
Conclusion:
Expectant management with a 3-week waiting period is an efficacious and safe option with a low risk of infection and hemorrhage. However, it is difficult to predict the exact time period before spontaneous abortion.
