title: [Treatment options for early miscarriage; new insights].
abstract: Miscarriage is the most common complication during the first trimester of pregnancy. Three treatment options are available for women who experience early miscarriage: expectant management, curettage, or medical treatment. Curettage has traditionally been the usual treatment, but both expectant management and medical management with misoprostol are more cost-effective. Curettage increases the risk of surgical complications and intra-uterine adhesions (Asherman syndrome), and is associated with preterm birth. After adequate counselling, the woman's preference is a decisive factor; the choice of treatment for early miscarriage lends itself ideally to shared decision making. The Netherlands lacks a multidisciplinary guideline on the treatment of women following miscarriage.
authors.affiliation: Academisch Medisch Centrum, afd. Obstetrie en Gynaecologie, Amsterdam.
authors.forename: Marianne A C
authors.initials: MA
authors.lastname: Verschoor
authors.forename: Marike
authors.initials: M
authors.lastname: Lemmers
authors.forename: Malu Z
authors.initials: MZ
authors.lastname: Wekker
authors.forename: W M Pim
authors.initials: WM
authors.lastname: Ankum
authors.forename: B W J Ben Willem
authors.initials: BW
authors.lastname: Mol
authors.forename: Mariëtte
authors.initials: M
authors.lastname: Goddijn
mesh_terms: D000020:Abortifacient Agents, Nonsteroidal / Q000008:administration & dosage*; D000022:Abortion, Spontaneous / Q000628:therapy*; D002755:Choice Behavior; D003657:Decision Making; D004107:Dilatation and Curettage / Q000009:adverse effects; D005260:Female; D006801:Humans; D016595:Misoprostol / Q000008:administration & dosage*; D009426:Netherlands; D011247:Pregnancy; D011261:Pregnancy Trimester, First; D011340:Problem Solving; D057832:Watchful Waiting
chemical_list: D000020:Abortifacient Agents, Nonsteroidal; D016595:Misoprostol