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Contemporary Management of Early Pregnancy Failure

CHEN, BEATRICE A. MD*; CREININ, MITCHELL D. MD* †

Clinical Obstetrics & Gynecology: March 2007 - Volume 50 - Issue 1 - pp 67-88
doi: 10.1097/GRF.0b013e31802f1233
First Trimester Pregnancy Complications

Early pregnancy failure is a common pregnancy complication. This paper reviews the terminology, diagnosis, and treatment of early pregnancy failure. Although surgical curettage has been the standard of care for more than 50 years, additional treatment options exist which appear to be satisfactory to patients. Manual vacuum curettage in the office is an effective alternative to electric vacuum curettage in an operating room. Nonsurgical treatments, including expectant and medical management, are reasonable alternatives depending on the clinical situation and the patient's desires. Clinicians need to understand how these options compare to provide appropriate counseling to patients.

*Department of Obstetrics, Gynecology, and Reproductive Sciences, University of Pittsburgh School of Medicine

Department of Epidemiology, University of Pittsburgh Graduate School of Public Health, Pittsburgh, Pennsylvania

Sources of support: none.

Correspondence: Beatrice A. Chen, MD, Department of Obstetrics, Gynecology, and Reproductive Sciences, University of Pittsburgh School of Medicine, Magee-Womens Hospital, 300 Halket Street, Pittsburgh, PA 15213. E-mail: chenba@upmc.edu

© 2007 Lippincott Williams & Wilkins, Inc.