What is included in the long-term monitoring of a missed miscarriage?

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

Ultrasonographic findings, in association with presence or absence of significant clinical bleeding, may aid in determination of medical versus expectant management as well as urgent versus routine follow-up.

In the case of expectant management, advise the patient to return to the ED or to contact an OB/GYN if severe cramping, bleeding, fever, and/or passage of tissue occur.

In the case of medical management with misoprostol, the first dose of 800 micrograms may be administered intravaginally in the ED, with follow up to an OB/GYN in 24-48 hours. Patients should be warned to return to the ED or contact their OB/GYN immediately for severe cramping, bleeding, fever, and/or passage of tissue.


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