The Conservative Management of First Trimester Miscarriages When Intrauterine Contents are Expelled?

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  • FUKUMOTO,Yumiko
    Department of Gynecology at Matubara Tokushukai Hospital
  • IGIMI,Kaoru
    Department of Obstetrics and Gynecology of Shonankamakura General Hospital
  • KOBAYASHI,Masaru
    Department of Obstetrics and Gynecology of Shonankamakura General Hospital
  • INOUE,Hiromi
    Department of Obstetrics and Gynecology of Shonankamakura General Hospital

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  • 稽留流産及び枯死卵症例の取り扱い : とくに自然経過観察例についての検討

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This study of patients with first trimester miscarriage to determine whether conservative management is feasible. Out of 100 women recruited, 27 elected to undergo immediate dilatation and curettage and 73 chose conservative management. The treatment groups were similar in age, the gestational age expelled tissue, para and gravida. One case of conservative group was suspected intra-uterine infection. She was subfebrile(37.4℃)and tenderness in the uterine body, but no foul vaginal discharge and no pathogens were identified. After administration of AMPC/CVA 1,500 mg for 7 days, her symptoms had gone. We believe that conservative management is an appropriate treatment for uncomplicated miscarriage in the first trimester, and the estimated age at expulsion is 8 weeks and 6 days.

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