Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
Hostname: page-component-8448b6f56d-jr42d Total loading time: 0 Render date: 2024-04-24T08:31:10.943Z Has data issue: false hasContentIssue false

13 - Guidelines on the Diagnosis and Management of Miscarriage

Published online by Cambridge University Press:  16 February 2017

By
Caroline E. Overton  and
Kate O'Brien
Edited by
Roy G. Farquharson  and
Mary D. Stephenson
Roy G. Farquharson
Affiliation:
Liverpool Women's Hospital
Mary D. Stephenson
Affiliation:
University of Illinois College of Medicine
Get access
Type
Chapter
Information
Early Pregnancy , pp. 129 - 145
Publisher: Cambridge University Press
Print publication year: 2017

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

NICE. Ectopic pregnancy and miscarriage: diagnosis and initial management in early pregnancy of ectopic pregnancy and miscarriage. (Clinical guideline 154.) 2012: http://www.nice.org.uk/CG154.Google Scholar
NICE. Ectopic pregnancy and miscarriage. (Evidence update 71.) December 2014: http://www.nice.org.uk.Google Scholar
Office for National Statistics; 2011, http://www.ons.gov.uk/ons/index.html.Google Scholar
Maternity data 2010–11, Hospital Episode Statistics (HES): http://www.hesonline.nhs.uk/Ease/servlet/ContentServer?siteID=1937&categoryID=1815.Google Scholar
Public inquiry into obstetric ultrasound procedures at the University Hospital of Wales, South Glamorgan Health Authority; 1994.Google Scholar
RCOG. Early pregnancy loss, management. Green Top Guideline No 25. London: Royal College of Obstetricians and Gynaecologists; 2006.Google Scholar
RCOG. Recommendations from the 33rd RCOG Study Group. In: Grudzinskas JG, O'Brien PMS, editors. Problems in Early Pregnancy: Advances in Diagnosis and Management. London: RCOG Press; 1997, pp. 327–31.Google Scholar
Farquharson, RG, Jauniaux, E, Exalto, N. ESHRE Special Interest Group for Early Pregnancy (SIGEP). Updated and revised nomenclature for description of early pregnancy events. Human Reproduction 2005; 20: 3008–11.CrossRefGoogle ScholarPubMed
The Association of Early Pregnancy Units. Guidelines 2007. London: AEPU; 2007.Google Scholar
RCOG. Standards in early pregnancy loss, ectopic pregnancy & recurrent miscarriage. Standards for Gynaecology. London: RCOG Press; 2008.Google Scholar
www.mumsnet.com/campaigns/miscarriage-care-campaign.Google Scholar
RCOG. Addendum to GTG No. 25 (October 2006): The management of early pregnancy loss. Green-Top Guideline No. 25. London: RCOG Press; 2011.Google Scholar
, Abdallah Y, , Daemen A, , Kirk E, , Pexsters A, , Naji O, Stalder, C., et al. Limitations of current definitions of miscarriage using mean gestational sac diameter and crown–rump length measurements: a multicenter observational study. Ultrasound in Obstetrics & Gynecology 2011; 38(5):497–502.CrossRefGoogle Scholar
Bourne, T, Barnhart, K, Benson, CB, Brosens, J, Van Calster, B, Condous, G, et al. Letter: NICE guidance on ectopic pregnancy and miscarriage restricts access and choice and may be clinically unsafe. British Medical Journal 2013; 346: f197.CrossRefGoogle ScholarPubMed
Pexsters, A, Luts, J, Van Schoubroeck, D, Bottomley, C, Van Calster, B, Van Huffel, S, et al. Clinical implications of intra- and interobserver reproducibility of transvaginal sonographic measurement of gestational sac and crown-rump length at 6–9 weeks' gestation. Ultrasound in Obstetrics & Gynecology. 2011; 38(5): 510–15.CrossRefGoogle ScholarPubMed
Trinder, J, Brocklehurst, P, Porter, R, Read, M, Vyas, S, Smith, L. Management of miscarriage: expectant, medical, or surgical? Results of randomised controlled trial (miscarriage treatment (MIST) trial). British Medical Journal. 2006; 332(7552): 1235–40.CrossRefGoogle ScholarPubMed
Smith, LF, Ewings, PD, Quinlan, C. Incidence of pregnancy after expectant, medical or surgical management of spontaneous first trimester miscarriage: a long-term follow-up of miscarriage treatment (MIST) randomised controlled trial. British Medical Journal 2009; 339: b3827.CrossRefGoogle ScholarPubMed
Petersen, SG, Perkins, A, Gibbons, K, Bertolone, J, Devenish-Meares, P, Cave, D, et al. Can we use a lower intravaginal dose of misoprostol in the medical management of miscarriage? A randomised controlled study. Australian and New Zealand Journal of Obstetrics & Gynaecology. 2013; 53(1): 64–73.CrossRefGoogle ScholarPubMed
Henshaw, RC, Cooper, K, El-Refay, H, Smith, NC, Templeton, AA. Medical management of miscarriage, non surgical uterine evacuation of incomplete and inevitable spontaneous abortion. British Medical Journal 1993; 306: 894–95.CrossRefGoogle ScholarPubMed
RCOG. Surgical Evacuation of the Uterus for Early Pregnancy Loss. RCOG Consent Advice No. 10. London: Royal College of Obstetricians & Gynaecologists; 2010.Google Scholar
Webber, K, Grivell, RM. Cervical ripening before first trimester surgical evacuation for non-viable pregnancy. London: Cochrane Pregnancy and Childbirth Group; 2015.Google ScholarPubMed
Milingos, DS, Mathur, M, Smith, NC, Ashok, PW. Manual vacuum aspiration: a safe alternative for the surgical management of early pregnancy loss. BJOG: An International Journal of Obstetrics & Gynaecology 2009; 116(9):1268–71.CrossRefGoogle ScholarPubMed
Partners too campaign. http://theresearchcompanion.com/partners-too-how-to-make-a-public-awareness-campaign/.Google Scholar
Bottomley, C, Van Belle, V, Kirk, E, Van Huffel, S, Timmerman, D, Bourne, T. Accurate prediction of pregnancy viability by means of a simple scoring system. Human Reproduction 2013; 28(1):68–76.Google Scholar
Verhaegen, J, Gallos, ID, van Mello, NM, Abdel-Aziz, M, Takwoingi, Y, Harb, H, et al. Accuracy of single progesterone test to predict early pregnancy outcome in women with pain or bleeding: meta-analysis of cohort studies. British Medical Journal. 2012; 345: e6077.CrossRefGoogle ScholarPubMed
Nanda, K, Lopez, LM, Grimes, DA, Peloggia, A, Nanda, G. Expectant care versus surgical treatment for miscarriage. Cochrane Database System Review 2012 Mar 14;3:CD003518.Google Scholar
Rausch, M, Lorch, S, Chung, K, Frederick, M, Zhang, J, Barnhart, K. A cost-effectiveness analysis of surgical versus medical management of early pregnancy loss. Fertility and Sterility. 2012; 97(2): 355–60.CrossRefGoogle ScholarPubMed

Save book to Kindle

To save this book to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×