Modern Management of Miscarriage: How Up-to-Date Are We?

Survey results indicate that office uterine evacuation and misoprostol are much underutilized.

One quarter of women will experience early pregnancy failure (EPF) during their lives. Although both office uterine evacuation and misoprostol are less invasive and less expensive than operating room uterine evacuation (which usually involves general anesthesia; JW Womens Health Apr 1 2010), the extent to which U.S. clinicians offer these options is unknown. Investigators surveyed U.S. obstetrician/gynecologists (OB-GYNs), certified nurse midwives (CNMs), and family physicians (FPs) who had treated women with EPF within the previous 6 months. Respondents (overall mean age, 49) included 309 OB-GYNs, 368 CNMs, and 299 FPs.

Among OB-GYNs, only 16% reported using office evacuation in the prior 6 months to treat patients with EPF, and 53% reporte…

Reviewing Author

Andrew M. Kaunitz, MD

Disclosures

RoyaltiesUpToDate

Grant/Research SupportMerck, Mithra, Medicines360

Editorial BoardsContraception; Menopause; Contraceptive Technology Update; OBG Management; Medscape OB/GYN & Women’s Health

Andrew M. Kaunitz, MD

Disclosures

RoyaltiesUpToDate

Grant/Research SupportMerck, Mithra, Medicines360

Editorial BoardsContraception; Menopause; Contraceptive Technology Update; OBG Management; Medscape OB/GYN & Women’s Health

Modern Management of Miscarriage: How Up-to-Date Are We?

Topics

Reviewing Author