Document Detail


Medical management of early pregnancy failure: efficacy.
MedLine Citation:
PMID:  18825609     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Early pregnancy failure is a common pregnancy complication. This article reviews the efficacy of medical management of early pregnancy failure. Nonsurgical treatments, including expectant and medical management, are reasonable alternatives to surgical management depending on the clinical situation and the patient's requests. Possible regimens in medical management of early pregnancy failure include misoprostol alone or mifepristone in conjunction with misoprostol. However, many studies of medical management may underestimate success rates due to inconsistent inclusion criteria, different dosing regimens, and varying definitions of failed treatment. Clinicians need to understand the range of efficacy of these regimens to provide appropriate counseling to patients.
Authors:
Beatrice A Chen; Mitchell D Creinin
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Publication Detail:
Type:  Comparative Study; Evaluation Studies; Journal Article; Review     Date:  2008-09-29
Journal Detail:
Title:  Seminars in reproductive medicine     Volume:  26     ISSN:  1526-4564     ISO Abbreviation:  Semin. Reprod. Med.     Publication Date:  2008 Sep 
Date Detail:
Created Date:  2008-09-30     Completed Date:  2009-01-07     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100909394     Medline TA:  Semin Reprod Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  411-22     Citation Subset:  IM    
Affiliation:
Department of Obstetrics, Gynecology, and Reproductive Sciences, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania 15213, USA. chenba@upmc.edu
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MeSH Terms
Descriptor/Qualifier:
Abortifacient Agents / administration & dosage,  adverse effects,  therapeutic use*
Abortion, Spontaneous / drug therapy*,  surgery
Female
Humans
Mifepristone / administration & dosage,  adverse effects,  therapeutic use
Misoprostol / administration & dosage,  adverse effects,  therapeutic use
Pregnancy
Pregnancy Trimester, First*
Randomized Controlled Trials as Topic
Treatment Outcome
Chemical
Reg. No./Substance:
0/Abortifacient Agents; 59122-46-2/Misoprostol; 84371-65-3/Mifepristone

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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