Participants: 1096 consecutive patients with a diagnosis of spontaneous first trimester miscarriage.
Methods: Each miscarriage was classified as complete, incomplete, missed, or anembryonic on the basis of ultrasonography. Women who needed treatment were given the choice of expectant management or surgical evacuation of retained products of conception under general anaesthesia. Women undergoing expectant management were checked a few days after transvaginal bleeding had stopped, or they were monitored at weekly intervals for four weeks.
Main outcome measures: A complete miscarriage (absence of transvaginal bleeding and endometrial thickness <15 mm), the number of women completing their miscarriage within each week of management, and complications (excessive pain or transvaginal bleeding necessitating hospital admission or clinical evidence of infection).
Results: Two patients with molar pregnancies were excluded, and 37% of the remainder (408/1094) were classified as having had a complete miscarriage. 70% (478/686) of women with retained products of conception chose expectant management; of these, 27 (6%) were lost to follow up. A successful outcome without surgical intervention was seen in 81% of cases (367/451). The rate of spontaneous completion was 91% (201/221) for those cases classified as incomplete miscarriage, 76% (105/138) for missed miscarriage, and 66% (61/92) for anembryonic pregnancy. 70% of women completed their miscarriage within 14 days of classification (84% for incomplete miscarriage and 52% for missed miscarriage and anembryonic pregnancy). Conclusions: Most women with retained products of conception chose expectant management. Ultrasonography can be used to advise patients on the likelihood that their miscarriage will complete spontaneously within a given time.
Source...
http://www.bmj.com/cgi/content/full/324/7342/873
Considering that my Dr. said the cytotec works about 70% of the time, this is encouraging.
There are quite a few studies out there, but I just found it interesting.
xoxo,
me
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2 comments:
Hi there,
It was interesting reading your blog. I liked the way you write - it is very honest. I hope things go OK with the miscarriage and that you recover quickly afterwards. Thanks for stopping by to read my blog also. Take care.
Are you one of the thousands of women who are going through expectant medical management just WAITING FOR YOUR BODY TO MISCARRY?!?!?
If you or someone you know may be interested in artistically expressing the abundance of emotions experienced during this difficult time in your life- PLEASE contact me at ProVoiceProject@gmail.com
I am putting together a National Project for Women (like myself) who have been medically diagnosed to miscarry and are now waiting for nature to take its often unfair course.
This project is not for all women and only those who are TRULY comfortable confronting their feelings should inquire!
Thank you!
ProVoiceProject@gmail.com
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