Mx of miscarriage Flashcards
1
Q
1st line Mx
A
expectant management
2
Q
expectant management
A
wait for 7-14days for miscarriage to complete spontaneously
if unsuccessful –> medical or surgical Mx
3
Q
when is medical or surgical Mx used first line
A
- increased risk haemorrhage - late in 1st trimester, coagulopathy
- prev adverse and/or traumatic experience ex. stillbirth, miscarriage, APH
- evidence of infection
4
Q
medical management
A
vaginal misoprostol
5
Q
surgical management
A
vacuum aspiration - suction curettage
or
surgical mx in theatre under GA