El-Sayed M M, Mohamed S A, Jones M H
Department of Obstetrics and Gynaecology, Darent Valley Hospital, Dartford, UK.
J Obstet Gynaecol. 2009 Nov;29(8):681-5. doi: 10.3109/01443610903215399.
Miscarriage is the most common complication of pregnancy, which creates a significant workload for health-care professionals. For decades, surgical evacuation of the uterus has remained the conventional treatment of first-trimester miscarriage. Recently, non surgical treatments have been introduced with increasing popularity. This review explores the evidence in support of expectant management of first-trimester miscarriage. It is safe, effective and well-tolerated by women. It enhances women's choice and control. It generates significant cost savings compared with the traditional surgical management. Accurate diagnosis, counselling, 24/7 telephone advice and follow-up are among the important aspects of expectant management. More studies are needed to develop methods for identifying miscarriages suitable for expectant management.
流产是妊娠最常见的并发症，给医护人员带来了巨大的工作量。几十年来，子宫手术排空一直是孕早期流产的传统治疗方法。最近，非手术治疗方法越来越受欢迎。本综述探讨了支持孕早期流产期待治疗的证据。它安全、有效，且女性耐受性良好。它增加了女性的选择权和掌控权。与传统手术治疗相比，它能大幅节省成本。准确诊断、咨询、全天候电话咨询和随访是期待治疗的重要方面。需要更多研究来开发识别适合期待治疗流产的方法。
