background: ectopic pregnancy is one of the main problems in women in reproductive age that needs special attention and appropriate strategy should be managed. in some cases expectant management seems good strategy without any medicine or surgery and their possible side effects. but are the outcomes always the same? which outcomes should we expect? case: we have reported 2 patients whose ectopi...

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...

OBJECTIVE To quantify the relative benefits and harms of different management options for first-trimester miscarriage. DATA SOURCES MEDLINE, EMBASE, and Cochrane Controlled Trials Register searches (1966 to July 2004), including references of retrieved articles. METHODS OF STUDY SELECTION Randomized trials assigning women with first-trimester missed or incomplete miscarriage to surgical, me...

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...

OBJECTIVE We evaluated pessary for dilated cervix and exposed membranes for prolonging pregnancy compared to cerclage or expectant management. METHODS Multicenter retrospective cohort study of women, 15-24 weeks, singleton pregnancies, dilated cervix ≥2 cm and exposed membranes. Women received pessary, cerclage or expectant management. Primary outcome was gestational age (GA) at delivery. Sec...

BACKGROUND This study was undertaken to determine if expectant management with a longer waiting period is an effective and safe option for women with anembryonic pregnancy. METHODS Women with an ultrasound diagnosis of anembryonic pregnancy were offered the option of expectant management with a 3-week waiting period or surgical evacuation according to their preference. RESULTS A total of 12...

BACKGROUND As the interval between rupture of the fetal membranes at term and delivery increases, so may the risk of fetal and maternal infection. It is not known whether inducing labor will reduce this risk or whether one method of induction is better then another. METHODS We studied 5041 women with prelabor rupture of the membranes at term. The women were randomly assigned to induction of l...

Objective. To find out the success rate of conservative management of complete two weeks for miscarriage in view of NICE Guideline 154. Design. Prospective observational study. Setting. Early pregnancy assessment units of District General Hospital in the United Kingdom. Participants. Women of less than 14 weeks' gestation, with a diagnosis of miscarriage (missed miscarriage/anembryonic or incom...

OBJECTIVE To evaluate whether the use of power Doppler to confirm the presence or absence of blood flow within retained products of conception (RPC) in women with an incomplete miscarriage can predict subsequent successful expectant management. METHODS Prospective observational study in the Acute Gynaecology and Early Pregnancy Unit (AGEPU) at Nepean Hospital from November 2006 to February 20...

OBJECTIVE To compare the effectiveness of clomifene citrate and unstimulated intrauterine insemination with expectant management for the treatment of unexplained infertility. DESIGN Three arm parallel group, pragmatic randomised controlled trial. SETTING Four teaching hospitals and a district general hospital in Scotland. PARTICIPANTS Couples with infertility for over two years, confirmed...