Miscarriage: Expectant Management for Incomplete Miscarriage - Topic Overview
Traditionally, an incomplete
miscarriage has been treated surgically with
dilation and curettage (D&C). This practice is
based on the concern that an incomplete miscarriage, in which a woman's uterus
retains tissue, can lead to excessive bleeding or infection. But expectant
management is a safe treatment option for many early, uncomplicated
miscarriages. If you choose expectant management, your doctor will watch you
closely for problems during miscarriage.
Expectant management may
be a treatment choice for you if you:
- Are having a first-trimester
- Have stable blood pressure and a stable heart
- Are not bleeding excessively and are not
- Do not have a fever or other signs
- Are not experiencing a high level of
- Can keep frequent medical and blood work appointments during
and after your miscarriage.
Some women choose medical treatment or surgical treatment
(D&C) instead of expectant management. Expectant management takes longer
for the miscarriage to resolve. So it takes more time for bleeding to stop.
In some cases a miscarriage that is being treated with expectant
management will still require surgical treatment, such as when excessive