Behandelopties voor vroege miskramen; nieuwe inzichten

Marianne A. C. Verschoor, Marike Lemmers, Malu Z. Wekker, W. M. Pim Ankum, B. W. J. Ben Willem Mol, Mariëtte Goddijn

Research output: Contribution to journalArticleProfessional

Abstract

Miscarriage is the most common complication during the first trimester of pregnancy. Three treatment options are available for women who experience early miscarriage: expectant management, curettage, or medical treatment. Curettage has traditionally been the usual treatment, but both expectant management and medical management with misoprostol are more cost-effective. Curettage increases the risk of surgical complications and intra-uterine adhesions (Asherman syndrome), and is associated with preterm birth. After adequate counselling, the woman's preference is a decisive factor; the choice of treatment for early miscarriage lends itself ideally to shared decision making. The Netherlands lacks a multidisciplinary guideline on the treatment of women following miscarriage
Original languageDutch
Pages (from-to)A7900
JournalNederlands Tijdschrift voor Geneeskunde
Volume158
Publication statusPublished - 2014

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