A trial of expectant management in incomplete miscarriage

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A trial of expectant management in incomplete miscarriage.

INTRODUCTION Incomplete miscarriage is often treated with surgical evacuation in Sri Lanka. Expectant management, which is an alternative treatment, was assessed for efficacy and safety in a local setting. METHODS Randomised clinical trial of two treatment groups of expectant and surgical management with 71 and 69 participants, respectively, was done at the University Gynaecology Unit of the ...

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Surgical treatment versus expectant care in the management of incomplete miscarriage: a randomised controlled trial.

OBJECTIVES To determine whether expectant care of incomplete miscarriages can significantly reduce the need for surgical evacuation of retained products of conception (ERPC) without increasing complications. METHODS A randomized controlled trial conducted at the University Unit, Teaching Hospital Mahamodara, Galle. Consecutive women with uncomplicated incomplete miscarriages at < 14 weeks ...

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Management of miscarriage: expectant, medical, or surgical? Results of randomised controlled trial (miscarriage treatment (MIST) trial).

OBJECTIVE To ascertain whether a clinically important difference exists in the incidence of gynaecological infection between surgical management and expectant or medical management of miscarriage. DESIGN Randomised controlled trial comparing medical and expectant management with surgical management of first trimester miscarriage. SETTING Early pregnancy assessment units of seven hospitals i...

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A qualitative study on patients' perceptions of expectant management of first trimester incomplete miscarriage.

INTRODUCTION Efficacy and safety of expectant management of first trimester miscarriage are well known, though the patients' perceptions and attitudes are less clear. This study was designed to understand the women's perception of symptoms, acceptability, fertility wishes and care received. METHODS A qualitative study among 25 women who were allocated to the expectant management arm of a rand...

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Management of miscarriage: a randomized controlled trial of expectant management versus surgical evacuation.

BACKGROUND In many countries, surgical uterine evacuation is the standard treatment for women with a miscarriage, but expectant management has been advocated as an alternative. The choice between the two options cannot be based on published evidence alone, because randomized clinical trials are scarce while generalizability of findings to patients with a strong preference for either management ...

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ژورنال

عنوان ژورنال: Ceylon Medical Journal

سال: 2011

ISSN: 2386-1274,0009-0875

DOI: 10.4038/cmj.v56i1.2888