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The role of ultrasound in the expectant management of early pregnancy loss
Open accessAbstract
Objective: To define the sonographic criteria which best determine the likelihood of successful expectant management of early pregnancy failure (EPF). Methods: Women with an ultrasound diagnosis of EPF at 7–14 weeks' gestation were offered the option of expectant management or surgical evacuation. Results: Five hundred and forty‐five women had a diagnosis of EPF; 298 with incomplete miscarriage and 247 with missed miscarriage or anembryonic pregnancy. A total of 305 women opted for expectant management, with an overall success rate of 86%. The success rate for incomplete miscarriage (96%) was significantly better than that for missed miscarriage (62%). Conclusion: This study demonstrates that EPF can be safely managed expectantly. Ultrasound has an invaluable role in predicting the likelihood of successful expectant management enabling patients to make an informed choice about their medical care. Copyright © 2001 International Society of Ultrasound in Obstetrics and Gynecology
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Observational studies had suggested that higher success rates were achievable for expectant management of incomplete miscarriage and early fetal demise.
“Observational studies, however, had suggested that higher success rates were achievable.22,23”
From Management of miscarriage: expectant, medical, or surgical? Results of randomised controlled trial (miscarriage treatment (MIST) trial) (2006) · cites this paper as [22]
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Trinder, J., Brocklehurst, P., Porter, R., Read, M., Vyas, S., & Smith, L. (2006) · BMJ · doi:10.1136/bmj.38828.593125.55 · Cited by 299
Metadata
- Authors
- Sairam, S., Khare, M., Michailidis, G., & Thilaganathan, B.
- Affiliations
- St Bartholomew's Hospital (GB)
- Corresponding author
- Thilaganathan, B.
- Venue
- Ultrasound in Obstetrics & Gynecology
- Publisher
- Wiley
- Published
- 2001-06
- Volume
- 17
- Issue
- 6
- Pages
- 506-509
- ISSN
- 0960-7692 (ISSN-L)
- 1469-0705
- OpenAlex
- W2075204958
- Cited by
- 29
- References
- 0
- Citations by year
- 2024: 1 · 2022: 1 · 2020: 2 · 2019: 1 · 2017: 1 · 2015: 1 · 2013: 3
- FWCI
- 2.70
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Ultrasound in Obstetrics and Gynecology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Reproductive Health and Contraception
- Life Sciences › Immunology and Microbiology › Immunology › Reproductive System and Pregnancy
- Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
- Keywords
- expectant management, early pregnancy loss, miscarriage, incomplete abortion, missed abortion, sonographic criteria, surgical evacuation, informed choice
- MeSH terms
- Abortion, Incomplete, Abortion, Missed, Adult, Dilatation and Curettage, Female, Follow-Up Studies, Gestational Age, Humans, Patient Participation, Pregnancy, Pregnancy Trimester, First, Sensitivity and Specificity, Gynecologic Surgical Procedures, Incidence, Confidence Intervals, Odds Ratio, Ultrasonography, Prenatal, Treatment Outcome
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