Evidence-based guidance from ACOG indicates that women with early pregnancy loss can usually choose among expectant, medical, and surgical management.
Sponsoring Organization: American College of Obstetricians and Gynecologists (ACOG)Target Population: Obstetric care providers
Background and Objective
Early pregnancy loss is defined as a nonviable intrauterine pregnancy with either an empty gestational sac or one containing an embryo without cardiac activity before 13 weeks' gestation. ACOG has issued recommendations on recognition and management of this condition, which occurs in 10% of clinically recognized pregnancies (most commonly within the first trimester).
Key Recommendations
Diagnosis
Vaginal ultrasound is the preferred modality for distinguishing viable intrauterine pregnancy from early pregnancy loss or ectopic pregnancy.
Early pregnancy loss can be confirmed if vaginal bleeding oc…
Reviewing Author
DisclosuresRoyaltiesUpToDate
Grant/Research SupportMerck, Mithra, Medicines360
Editorial BoardsContraception; Menopause; Contraceptive Technology Update; OBG Management; Medscape OB/GYN & Women’s Health
DisclosuresRoyaltiesUpToDate
Grant/Research SupportMerck, Mithra, Medicines360
Editorial BoardsContraception; Menopause; Contraceptive Technology Update; OBG Management; Medscape OB/GYN & Women’s Health