n CME : Your SA Journal of CPD - Management of early pregnancy loss : main article

Volume 24, Issue 11
  • ISSN : 0256-2170



Miscarriage is the commonest complication of pregnancy. <BR>Historically, surgical evacuation was the treatment of choice to prevent death from haemorrhage and sepsis. <BR>Access to medical care, progress in ultrasonography and legalisation of abortion have allowed the use of conservative treatment such as medical and expectant management. <BR>Transvaginal ultrasound is essential in making a diagnosis of early fetal demise. <BR>Surgical evacuation after resuscitation remains the gold standard for treatment of women who are haemodynamically unstable or who have concurrent sepsis. <BR>Appropriate counselling, availability of transport and access to the health care facility are prerequisites to conservative treatment of miscarriage. <BR>Clinicians must know the exclusion criteria before embarking on medical treatment with misoprostol. <BR>All rhesus-negative women receiving surgical and medical management of first-trimester miscarriage must receive anti-D immunoprophylaxis.

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