Miscarriage: worldwide reform of care is needed
A series of 3 articles in The Lancet propose a graded model of care to follow after each miscarriage including guidance to patients, full blood counts and thyroid functions tests, genetic testing and pharmacological management.
Source:
The Lancet
Resource links:
Article on the epidemiological, physical, psychological and economic costs of early pregnancy loss
SPS commentary:
One article discusses the evidence for different pharmacological treatments that can be used in the prevention of miscarriage in women at high risk of miscarriage such as progestogens, anticoagulation therapy, levothyroxine and metformin.
Another article discusses the evidence behind medical management of a miscarriage including various regimens of misoprostol, with or without mifepristone and recommends women should be presented with available evidence and supported to choose the management approach that suits their needs and preferences.