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Chapter 14 - Guidelines on the Diagnosis and Management of Sporadic Miscarriage

Published online by Cambridge University Press:  16 April 2025

By
Abigail Oliver  and
Caroline Overton
Edited by
Roy G. Farquharson ,
Mary D. Stephenson  and
Mariëtte Goddijn
Roy G. Farquharson
Affiliation:
Liverpool Women’s Hospital
Mary D. Stephenson
Affiliation:
University of Illinois, Chicago
Mariëtte Goddijn
Affiliation:
Amsterdam University Medical Centers
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Summary

Miscarriage is the most common complication of pregnancy and is associated with significant emotional, social and economic impact. The diagnosis of miscarriage is made with transvaginal ultrasound examination following rigid diagnostic criteria which ensures a safe and accurate assessment for all women. This chapter outlines the evolution of national and international guidance on the ultrasound diagnosis of miscarriage highlighting when and why changes in practice have occurred. Diagnostic criteria are illustrated with ultrasound images and practical guidance is offered through inclusion of an annotated flowchart incorporating the most up to date evidence to protect women from the risk of inappropriate intervention. Once the diagnosis of miscarriage is made options for treatment include expectant, medical and surgical management. The chapter outlines fundamental information to discuss with women to facilitate informed decision making and provides guidance on the practical aspects of management of miscarriage.

Keywords

First trimester miscarriageUltrasoundDiagnosisEarly fetal demiseManagement of miscarriage
Type
Chapter
Information
Early Pregnancy , pp. 137 - 152
Publisher: Cambridge University Press
Print publication year: 2025

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