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...

The mainstay of management of ectopic pregnancies is laparoscopic surgery. Other treatment options include open laparotomy, methotrexate or expectant approach. Recently the Royal College of Obstetricians and Gynaecologists (RCOG) revised its guidelines regarding management of suspected ectopic pregnancies. We undertook a retrospective study looking at management of ectopic pregnancies over a de...

A Randomized Trial of Induction Versus Expectant Management1 (ARRIVE) trial provoked a flurry comment and related studies,2–9 but the bemusing results less obvious implications this seminal study warrant additional review. This state-of-the-art randomly allocated more than 6000 low-risk nulliparous women at 39 weeks’ gestation showed that adverse perinatal outcome rates were lower after labor i...

Hemangiomas of the uterine cervix are extremely rare. The tumor can have a variety of appearance. When a cervical hemangioma is diagnosed in an asymptomatic nulliparous woman or during pregnancy, expectant management is warranted. Surgical intervention, laser, ablation, or Cesarean section is reserved for hemangiomas that present major problems. The natural history of cervical hemangioma is reg...

Both induction of labour at 41 weeks and expectant management until 42 are common strategies in low-risk pregnancy since there is no consensus on the optimal timing late-term for prevention adverse outcomes. Our aim was to explore maternal preference either strategy influence quality life anxiety this preference. Obstetrical women with an uncomplicated were eligible when they reached a gestatio...