Misoprostol, Expectant Management, and the Evidence Behind Management Options of Incomplete Abortion
Miscarriage occurs in 10-15% of pregnancies. Historically, the "gold standard managment" for incomplete abortions was surgical dilation and curretage. However, the risk of infection, hemorrhage, cervical injury, uterine rupture, and anesthesia complications with routine surgical intervention opened the door for less invasive management options to replace conventional therapy. These options include medical (misoprostol) and expectant management. In today's practice of, Emergency Medicine providers are typically subject to varying practice patterns by obstetrics consultants.