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Expectant management of missed miscarriage
D Jurkovic1, J A Ross, K H Nicolaides
1Department of Obstetrics and Gynaecology, King's College Hospital, London, UK.
British Journal of Obstetrics and Gynaecology
|July 1, 1998
Summary
Expectant management for missed miscarriage is not recommended. Only 24.7% of women experienced complete miscarriage, with many requiring surgical intervention.
Area of Science:
- Reproductive Medicine
- Gynecology
- Obstetrics
Background:
- Missed miscarriage is a pregnancy complication.
- Expectant management is a conservative approach.
- Surgical evacuation is an alternative treatment.
Purpose of the Study:
- To evaluate the success rate of expectant management for missed miscarriage.
- To compare expectant management with surgical evacuation.
Main Methods:
- 221 women with ultrasound-diagnosed missed miscarriage were offered expectant management.
- 85 women (38%) accepted expectant management.
- 136 women chose surgical evacuation.
Main Results:
- In the expectant management group, 24.7% had a complete miscarriage.
- 16.5% had incomplete miscarriage requiring surgery.
- 58.8% requested surgery within 48 days.
Conclusions:
- The success rate of expectant management for missed miscarriage is low.
- Expectant management is not sufficiently successful for routine clinical practice.