scholarly journals About the treatment of miscarriage

2020 ◽  
Vol 11 (9) ◽  
pp. 1090-1091
Author(s):  
F. Weber
Keyword(s):  
Incomplete Miscarriage

The question of how to deal with miscarriage in all its different phases is extremely important for the practitioner. Meanwhile, the opinions of prominent obstetricians about the treatment of miscarriages are very different. Abel, on the basis of 200 abortion cases successfully used in his clinic, is trying to give a guiding thread that should be used by the practitioner. The longest he stops on the treatment of abortus imperfectus, that is, those cases where a patient, after having committed an incomplete miscarriage, comes to the doctor with complaints of bleeding, and both the external and internal pharynx are already closed for the most part.

scholarly journals Expectant Management of Miscarriage in View of NICE Guideline 154

2014 ◽  
Vol 2014 ◽  
pp. 1-4
Author(s):  
Junaid Rafi ◽  
Haroona Khalil
Keyword(s):  
Blood Transfusion ◽  
Success Rate ◽  
Prospective Observational Study ◽  
Expectant Management ◽  
District General Hospital ◽  
Short Term ◽  
Nice Guideline ◽  
The United Kingdom ◽  
Products Of Conception ◽  
Incomplete Miscarriage

Objective. To find out the success rate of conservative management of complete two weeks for miscarriage in view of NICE Guideline 154.Design. Prospective observational study.Setting. Early pregnancy assessment units of District General Hospital in the United Kingdom.Participants. Women of less than 14 weeks’ gestation, with a diagnosis of miscarriage (missed miscarriage/anembryonic or incomplete miscarriage).Interventions.Expectant management for two weeks.Main Outcome Measure.(1) Efficacy of 2-week expectant management, that is, complete resolution of miscarriage based either on self-reporting of patient after passing products of conception at home between D0 and D14 of expectant management or confirmation on scan at D14, and (2) short-term complications needing strong analgesia, blood transfusion, and antibiotics.Results. Expectant management of miscarriage for 2 weeks from the day of diagnosis was successful in 58% (64 /111) and failed in 42% (47/111).Conclusions. Expectant management success rate is consistent with the results from the longitudinal studies and RCTs published in the past. It is a safe option as none of the patients on expectant/medical management needed strong analgesia/antibiotics or blood transfusion.

scholarly journals Treatment of incomplete miscarriage

1898 ◽  
Vol 12 (6) ◽  
pp. 836-837
Author(s):  
N. Kakushkin
Keyword(s):  
Surgical Assistance ◽  
Incomplete Miscarriage

In 59 cases of miscarriage, Dolris provided surgical assistance 33 times, the rest were spontaneous. The author spontaneously had 176 miscarriages in 275 cases. From the beginning to the end of these (176), 145 miscarriages were observed.

scholarly journals Expectant management of incomplete miscarriage, anembryonic pregnancy and early fetal demise: a comparative study

2020 ◽  
Vol 9 (8) ◽  
pp. 3144
Author(s):  
Reshma Sajan K. K. ◽  
Mumtaz P. ◽  
Chandrika C. V. ◽  
Abdul Vahab ◽  
Hassan Sheikh Imrana
Keyword(s):  
Success Rate ◽  
Early Pregnancy ◽  
Tertiary Care ◽  
Expectant Management ◽  
First Line ◽  
Proper Selection ◽  
Fetal Demise ◽  
Incomplete Miscarriage ◽  
Selection Of ◽  
Anembryonic Pregnancy

Background: Expectant management as first line management of early pregnancy miscarriages is less accepted due to failure and increased complications reported in few studies. Proper selection of cases improves outcome of expectant management. Aim of this study was to compare success rate and complications in expectant management in three groups of early pregnancy miscarriages- Incomplete miscarriage, anembryonic pregnancy and early fetal demise.Methods: Prospective observational study conducted in tertiary care centre for 3 years, including 107 patients with USG confirmed pregnancy miscarriage <13 weeks. Patients preferring expectant management were managed as outpatient without intervention for 2 weeks after which repeat USG was done to ascertain complete miscarriage. Failed expectant management patients underwent planned surgical uterine evacuation. Emergency admission and evacuation was done, if symptomatic during waiting period. Success rate and complications like emergency evacuation, vaginal bleeding, abdominal pain, limitation of physical activity and patient satisfaction were assessed and compared in subgroups of anembryonic pregnancy, early fetal demise and incomplete miscarriage. Statistical analysis was done by chi-square test.Results: Incomplete miscarriage group had highest success rate of 88.46%. followed by anembryonic pregnancy (72.5%) and EFD (47.83%) p value = 0.007. Complication rate was highest in EFD, followed by anembryonic and the least in incomplete miscarriage all of which was statistically significant except vaginal bleeding.Conclusions: Expectant management should be offered as first line choice for all types of early pregnancy miscarriages. Proper selection of case as to type of miscarriage especially incomplete miscarriage and selected cases of anembryonic pregnancy and EFD ensures higher success rate with lesser complications. Reserving medical and surgical management for unsuitable/failed cases.

Anaesthesia for evacuation of incomplete miscarriage

2012 ◽  
Author(s):  
Jose Andres Calvache ◽  
Mario F Delgado-Noguera ◽  
Emmanuel Lesaffre ◽  
Robert J Stolker
Keyword(s):  
Incomplete Miscarriage

scholarly journals Effectiveness of misoprostol for induction of first and early second trimester spontaneous miscarriages in parous women

2018 ◽  
Vol 7 (11) ◽  
pp. 4512
Author(s):  
Tamima Al-Dughaishi ◽  
Amjad Hamed Al-Haddabi ◽  
Mussab Mussab Mubarak Hamed Al-Jabri ◽  
Vaidyanathan Gowri
Keyword(s):  
Success Rate ◽  
First Trimester ◽  
University Hospital ◽  
Second Trimester ◽  
Sultan Qaboos University ◽  
Dilatation And Curettage ◽  
Dilation And Curettage ◽  
Medical Termination ◽  
Surgical Evacuation ◽  
Incomplete Miscarriage

Background: Medical termination of missed miscarriage and incomplete miscarriage with misoprostol, are an alternative to surgical evacuation (dilatation and curettage). This study aimed to evaluate the effectiveness of misoprostol in highly parous woman for incomplete and missed miscarriage.Methods: This was a retrospective study was conducted in two different time lines (2010 and 2014). All patients admitted to the Sultan Qaboos University hospital, Muscat, Oman, for the management of first-trimester miscarriages (missed and incomplete types) during the study period were included. Some women were moved to dilation and curettage even after misoprostol. The effect of gravidity and parity on those women in whom misoprostol was not effective was studied.Results: The overall success rate of misoprostol for the management was 62.14% in 2010 and 53.8% 2014. In nulliparous woman the success rate of misoprostol was slightly higher than parous women. There was no apparent effect of gravidity and parity of ≥ 5 or ≥ 5 on the success of misoprostol.Conclusions: Misoprostol reduced the rate of surgical evacuation among the study subjects. In highly parous and multigravid women (≥ para 5 and gravida ≥5) the success was not significantly different compared to less parous women.

Doppler Color Scoring System in Women With an Incomplete Miscarriage: Interobserver and Intraobserver Reproducibility Study

2019 ◽  
Vol 38 (9) ◽  
pp. 2437-2445
Author(s):  
Grace Ting Ting Leong ◽  
Mathew Leonardi ◽  
Chuan Lu ◽  
Brendan Mein ◽  
Mercedes Espada ◽  
...  
Keyword(s):  
Scoring System ◽  
Intraobserver Reproducibility ◽  
Reproducibility Study ◽  
Doppler Color ◽  
Incomplete Miscarriage

On the production of a legal artificial miscarriage

2020 ◽  
Vol 11 (12) ◽  
pp. 1557-1563
Author(s):  
G. G. Zachs
Keyword(s):  
Blood Loss ◽  
The Other ◽  
Decisive Action ◽  
The One ◽  
Incomplete Miscarriage

The question of the treatment of miscarriage and the question of the production of a legitimate artificial miscarriage, which is closely connected with it, seems to be one of the most vital issues of modern gynecology, which are of great importance for a practitioner. In most cases, this requires a quick decisive action on the part of the doctor, and it is quite understandable why we are so interested in the question: in what way, in what way it is possible to achieve the goal most surely and faster with the least danger for the patient. As you know, the danger to a patient with miscarriage, whether it is artificial or not, lies on the one hand in bleeding, and on the other in infection; both the one and the other danger is depending on how quickly and completely the emptying of the uterus occurred. Cases of prolonged or incomplete miscarriage pose the greatest danger from both infection and blood loss.

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