How is missed miscarriage treated in the emergency department (ED)?

Updated: Nov 05, 2018
  • Author: Slava V Gaufberg, MD; Chief Editor: Jeter (Jay) Pritchard Taylor, III, MD  more...
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Answer

Missed miscarriage

Treatment may vary depending on gestational age as follows:

  • First trimester: Most patients pass the products of conception spontaneously. Coagulation defects secondary to a dead fetus are rare. Expectant management, [18] suction curettage, or misoprostol for medical management to facilitate passage of products of conception may be performed. [19]

  • Second trimester: The uterus is emptied by dilatation and evacuation; alternatively, the uterus is emptied by induction of labor.


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