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The Success Rate of Expectant Management in The Treatment of 1st Trimester Missed Miscarriage

Author: Maysaloon Adnan Abd-Alrazzaq
Journal: Karbala Journal of Medicine مجلة كربلاء الطبية ISSN: 19905483 Year: 2016 Volume: 9 Issue: 2 Pages: 2455-2461
Publisher: Kerbala University جامعة كربلاء

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Abstract

background: the expectant management has been considered possible alternative to surgical treatment (dilatation & curettage) of 1st trimester pregnancy missed miscarriage. Aim of study: to determine the successfulness & safety of 2 weeks expectant management for 1st trimester pregnancy missed miscarriage.Patients & methods: in this study was selected early pregnancy missed miscarriage, pregnant women ≤8weeks & pregnant women from 8-12 weeks.150 cases of missed miscarriage were collected but only 128 women agreed for expectant management after counseling. Which they are randomly selected managed expectantly over 7-14 days periods.Results: The results were found that the expectant management being successful in 65.6% (84/128) cases while being unsuccessful in 34.4% (44/128). 128 patients of this study attended follow-up to the karballa maternity hospital and were triaged by assessments of symptoms. 80 0f the patients ≤8 weeks the success rate was 100%,which is statistically highly significant =0.001 while 48 of patients 8-12 weeks success rate only 8.3% (4/48) while not success 91.7%(40/44)Discussion: Expectant management of 1st trimester missed miscarriage has been found now days to be a good alternative to other methods for treatment of missed miscarriage.It is safe, effective with good success rate which is 65.6% which is statistically highly significant. P=0.001Conclusion: Expectant management appears to be sufficiently successful, safe and effective to be offered as an option for women with 1st trimester missed miscarriage.

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