Staff View: Expectant management of missed miscarriage

Expectant management of missed miscarriage

Early pregnancy losses occur in 10-20% of all pregnancies. Surgical evacuation has always been the mainstay of management of miscarriages. The main aim of this study was to understand the success rate of expectant management of miscarriage with regards to gestational sac size and period of gestation...

Full description

Saved in:

Bibliographic Details
Main Authors:	Andi Asri, Andi Anggeriana, Mat Adenan, Noor Azmi, Esfehani, Ali Jafarzadeh, Mohtaruddin, Nurhafizah, Ma, Saung Oo, Abdul Latiff, Latiffah
Format:	Article
Language:	English
Published:	Faculty of Medicine and Health Sciences, Universiti Putra Malaysia 2015
Online Access:	http://psasir.upm.edu.my/id/eprint/41447/1/Expectant%20management%20of%20missed%20miscarriage.pdf http://psasir.upm.edu.my/id/eprint/41447/ http://www.medic.upm.edu.my/dokumen/FKUSK1_Article_8.pdf
Tags:	Add Tag No Tags, Be the first to tag this record!

id	my.upm.eprints.41447
record_format	eprints
spelling	my.upm.eprints.414472019-10-31T02:36:04Z http://psasir.upm.edu.my/id/eprint/41447/ Expectant management of missed miscarriage Andi Asri, Andi Anggeriana Mat Adenan, Noor Azmi Esfehani, Ali Jafarzadeh Mohtaruddin, Nurhafizah Ma, Saung Oo Abdul Latiff, Latiffah Early pregnancy losses occur in 10-20% of all pregnancies. Surgical evacuation has always been the mainstay of management of miscarriages. The main aim of this study was to understand the success rate of expectant management of miscarriage with regards to gestational sac size and period of gestation. The secondary outcome was to measure the satisfaction level and the rate of pregnancy after 6 month of expectant management. Patients diagnosed with missed miscarriages were requested to choose between expectant or surgical management. Those decided for expectant management on “wait and watch” approach were assessed weekly up to 5 completed weeks until complete miscarriage was achieved spontaneously. Surgical evacuation was performed if medically indicated or requested by the patients at any time or at the end of fifth week if complete miscarriage was not achieved. Out of 212 cases, 75 (35.4%) opted for expectant management. Complete miscarriage was achieved in 85.3% of subjects by the end of fifth weeks respectively. Mean of Gestational sac size and period of gestation was not found to influence the success rate of complete spontaneous miscarriage in the expectant management. No morbidity was recorded during the five weeks of the study period. Mean satisfaction score was 9.7±8.3. Pregnancy occurred in 47% of patients within 6 months follow up. The Receiver operation characteristic (ROC) curve analysis suggested the end of second week as the cut off for surgical intervention. This study revealed that expectant management of missed miscarriage is a reliable management of missed miscarriage within the first two weeks. Faculty of Medicine and Health Sciences, Universiti Putra Malaysia 2015-01 Article PeerReviewed application/pdf en http://psasir.upm.edu.my/id/eprint/41447/1/Expectant%20management%20of%20missed%20miscarriage.pdf Andi Asri, Andi Anggeriana and Mat Adenan, Noor Azmi and Esfehani, Ali Jafarzadeh and Mohtaruddin, Nurhafizah and Ma, Saung Oo and Abdul Latiff, Latiffah (2015) Expectant management of missed miscarriage. Malaysian Journal of Medicine and Health Sciences, 11 (1). pp. 69-76. ISSN 1675-8544 http://www.medic.upm.edu.my/dokumen/FKUSK1_Article_8.pdf
institution	Universiti Putra Malaysia
building	UPM Library
collection	Institutional Repository
continent	Asia
country	Malaysia
content_provider	Universiti Putra Malaysia
content_source	UPM Institutional Repository
url_provider	http://psasir.upm.edu.my/
language	English
description	Early pregnancy losses occur in 10-20% of all pregnancies. Surgical evacuation has always been the mainstay of management of miscarriages. The main aim of this study was to understand the success rate of expectant management of miscarriage with regards to gestational sac size and period of gestation. The secondary outcome was to measure the satisfaction level and the rate of pregnancy after 6 month of expectant management. Patients diagnosed with missed miscarriages were requested to choose between expectant or surgical management. Those decided for expectant management on “wait and watch” approach were assessed weekly up to 5 completed weeks until complete miscarriage was achieved spontaneously. Surgical evacuation was performed if medically indicated or requested by the patients at any time or at the end of fifth week if complete miscarriage was not achieved. Out of 212 cases, 75 (35.4%) opted for expectant management. Complete miscarriage was achieved in 85.3% of subjects by the end of fifth weeks respectively. Mean of Gestational sac size and period of gestation was not found to influence the success rate of complete spontaneous miscarriage in the expectant management. No morbidity was recorded during the five weeks of the study period. Mean satisfaction score was 9.7±8.3. Pregnancy occurred in 47% of patients within 6 months follow up. The Receiver operation characteristic (ROC) curve analysis suggested the end of second week as the cut off for surgical intervention. This study revealed that expectant management of missed miscarriage is a reliable management of missed miscarriage within the first two weeks.
format	Article
author	Andi Asri, Andi Anggeriana Mat Adenan, Noor Azmi Esfehani, Ali Jafarzadeh Mohtaruddin, Nurhafizah Ma, Saung Oo Abdul Latiff, Latiffah
spellingShingle	Andi Asri, Andi Anggeriana Mat Adenan, Noor Azmi Esfehani, Ali Jafarzadeh Mohtaruddin, Nurhafizah Ma, Saung Oo Abdul Latiff, Latiffah Expectant management of missed miscarriage
author_facet	Andi Asri, Andi Anggeriana Mat Adenan, Noor Azmi Esfehani, Ali Jafarzadeh Mohtaruddin, Nurhafizah Ma, Saung Oo Abdul Latiff, Latiffah
author_sort	Andi Asri, Andi Anggeriana
title	Expectant management of missed miscarriage
title_short	Expectant management of missed miscarriage
title_full	Expectant management of missed miscarriage
title_fullStr	Expectant management of missed miscarriage
title_full_unstemmed	Expectant management of missed miscarriage
title_sort	expectant management of missed miscarriage
publisher	Faculty of Medicine and Health Sciences, Universiti Putra Malaysia
publishDate	2015
url	http://psasir.upm.edu.my/id/eprint/41447/1/Expectant%20management%20of%20missed%20miscarriage.pdf http://psasir.upm.edu.my/id/eprint/41447/ http://www.medic.upm.edu.my/dokumen/FKUSK1_Article_8.pdf
_version_	1651869056072941568
score	13.211869

Expectant management of missed miscarriage

Similar Items