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

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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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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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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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Incidence of pregnancy after expectant, medical, or surgical management of spontaneous first trimester miscarriage: long term follow-up of miscarriage treatment (MIST) randomised controlled trial

OBJECTIVES To compare fertility rates after the three methods of managing early miscarriage in women recruited to the MIST (miscarriage treatment) randomised controlled trial. SETTING Early pregnancy clinics of acute hospitals in the south west region of England. PARTICIPANTS 1199 women who had had an early miscarriage (<13 weeks) confirmed by scan. INTERVENTION Expectant, medical, or sur...

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ژورنال

عنوان ژورنال: Ceylon Medical Journal

سال: 2013

ISSN: 2386-1274,0009-0875

DOI: 10.4038/cmj.v57i4.5077