University Hospitals Cleveland Medical Center - MacDonald Women's Hospital, 11100 Euclid Avenue, Cleveland, OH 44106, USA; Department of Reproductive Biology, Case Western Reserve University School of Medicine.
University Hospitals Cleveland Medical Center - MacDonald Women's Hospital, 11100 Euclid Avenue, Cleveland, OH 44106, USA.
Obstet Gynecol Clin North Am. 2022 Sep;49(3):623-635. doi: 10.1016/j.ogc.2022.04.004.
First trimester miscarriage, or early pregnancy loss, is a common occurrence in the United States. Miscarriage management includes expectant, medical, or surgical approaches. Decisions about management options should be approached through shared decision making between the patient and provider and with consideration of patient's preferences, hemodynamic stability, cost, gestational age, and effectiveness. Emergencies requiring immediate interventions are rare. Newer developments in management, including a more effective medical regimen with the addition of mifepristone and cost-effective and convenient in-office surgical interventions, have expanded treatment options.
早期流产（也称为第一孕期流产）在美国较为常见。流产的处理方法包括期待疗法、药物治疗或手术治疗。处理方法的选择需要患者与医生共同决策，并考虑患者的偏好、血流动力学稳定性、成本、妊娠周数和疗效。需要立即进行干预的紧急情况较为少见。米非司酮等更有效的药物治疗方案，以及成本效益高、方便在诊室内进行的手术干预措施的出现，为流产的处理提供了更多选择。
