Early Pregnancy Loss (EPL) describes a nonviable intrauterine pregnancy identified prior to 13 weeks gestation, often a consequence of significant fetal chromosome abnormalities incompatible with life. Frequency of EPL increases with maternal age.
Note: Research (RCT) demonstrates the administration of 200 mg mifepristone followed by 800 micrograms misoprostol improves outcomes
Expectant, medical or surgical management to treat miscarriage are considered equivalent. Unless there is a change in clinical status (e.g. hemorrhage or infection), patient preference can guide decision making.
ACOG Practice Bulletin 200: Early Pregnancy Loss
SMFM: RhD immune globulin after spontaneous or induced abortion less than 12 weeks of gestation
Manual vacuum aspiration: an outpatient alternative for surgical management of miscarriages.
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