Highlights & Basics
- Miscarriage occurs in up to one third of pregnancies.
- Described as threatened, inevitable, incomplete, complete, missed, or recurrent miscarriage.
- Presence of pain, hypotension, tachycardia, and/or anemia warrants exclusion of a life-threatening differential diagnosis such as an ectopic pregnancy.
- Serial serum beta hCG titers and a transvaginal ultrasound scan aid in diagnosis.
- Medical or surgical uterine evacuation is recommended when the pregnancy is no longer viable. The patient may also be offered a choice of conservative management unless there is profuse, heavy, and persistent bleeding.
Quick Reference
History & Exam
Key Factors
Other Factors
Diagnostics Tests
Treatment Options
Definition
Epidemiology
Etiology
Pathophysiology
Citations
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American College of Obstetricians and Gynecologists. Practice bulletin: early pregnancy loss. Nov 2018 [internet publication].[Full Text]
Kim C, Barnard S, Neilson JP, et al. Medical treatments for incomplete miscarriage. Cochrane Database Syst Rev. 2017 Jan 31;(1):CD007223.[Abstract][Full Text]
Tunçalp O, Gülmezoglu AM, Souza JP. Surgical procedures for evacuating incomplete miscarriage. Cochrane Database Syst Rev. 2010 Sep 8;(9):CD001993.[Abstract][Full Text]
European Society of Human Reproduction and Embryology. Guideline on the management of recurrent pregnancy loss. Nov 2017 [internet publication].[Full Text]
Duckitt K, Qureshi A. Recurrent miscarriage. BMJ Clin Evid. 2015 [internet publication].
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