The type of treatment a woman
receives after an early miscarriage does not affect subsequent fertility, with
around 80% of women having a live birth within five years of their miscarriage,
concludes a study published on bmj.com.
Fifteen per cent of pregnancies
end in early miscarriage. For decades the standard management of early
miscarriage was surgical evacuation of retained products of conception. But
this was increasingly questioned and now women are usually offered expectant
(watch and wait) and medical management as well.
Miscarriage
A miscarriage (spontaneous abortion) is the spontaneous loss of a fetus before the 20th week of pregnancy.
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Previous studies, including the largest published trial (the MIST trial), have suggested that all three methods are probably equivalent in terms of gynaecological infection, but their long term effects on fertility are not known.
So researchers based in the South
West of England compared fertility rates for the three management methods
(expectant, medical or surgical).
![High Risk Pregnancy Group Calculator]( "High Risk Pregnancy Group Calculator")
Medindia offers you a useful calculator to find out if you fall under the high risk pregnant group. Take the precautionary steps and avoid complications during pregnancy.
They surveyed 762 women who had taken part in the original MIST study, and who had randomly received surgical, medical or expectant management for an early miscarriage (less than 13 weeks gestation).
These women completed a questionnaire about subsequent pregnancies and live births after this miscarriage. The effects of age, previous miscarriage and previous birth history were taken into account.
Among the survey respondents, 83.6% reported a subsequent pregnancy, with 82% having a live birth.
Time to subsequently giving birth was very similar in the three management groups: 79% of those randomised to expectant management, 78.7% of the medical group and 81.7% of the surgical group all had a live birth five years after their miscarriage.
However, older women and those suffering three or more miscarriages were significantly less likely to subsequently give birth.
The authors conclude that method of miscarriage management does not affect subsequent pregnancy rates, with around four in five women having a live birth within five years of a miscarriage.
"Women can be reassured that long term fertility concerns need not affect their choice of miscarriage, management method," they say.
Source: BMJ
LIN
High Risk Pregnancy Group Calculator
Medindia offers you a useful calculator to find out if you fall under the high risk pregnant group. Take the precautionary steps and avoid complications during pregnancy.
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They surveyed 762 women who had taken part in the original MIST study, and who had randomly received surgical, medical or expectant management for an early miscarriage (less than 13 weeks gestation).
These women completed a questionnaire about subsequent pregnancies and live births after this miscarriage. The effects of age, previous miscarriage and previous birth history were taken into account.
Among the survey respondents, 83.6% reported a subsequent pregnancy, with 82% having a live birth.
Time to subsequently giving birth was very similar in the three management groups: 79% of those randomised to expectant management, 78.7% of the medical group and 81.7% of the surgical group all had a live birth five years after their miscarriage.
However, older women and those suffering three or more miscarriages were significantly less likely to subsequently give birth.
The authors conclude that method of miscarriage management does not affect subsequent pregnancy rates, with around four in five women having a live birth within five years of a miscarriage.
"Women can be reassured that long term fertility concerns need not affect their choice of miscarriage, management method," they say.
Source: BMJ
LIN
Dilatation and Curettage - Surgical Procedure
Dilation and curettage (D&C) is a common surgery, done on women to scrape and collect the tissue from inside the uterus. The procedure is usually performed under general or regional anaesthesia.
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 New Fertility Test can Double Chances of PregnancyA new fertility test technique that can double chances of pregnancy and also provide results more quickly than now is being offered in the UK. | Advertisement
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