EXPECTANT MANAGEMENT OF MISSED MISCARRIAGE

The option of expectant management was offered 221 women with ultrasou nd diagnosis of missed miscarriage. Eighty-five women (38%) accepted; the remaining 136 women chose surgical evacuation of retained products of conception. In the expectant management group 21 women (24.7%) had a complete miscarriage, 14 (16.5%) had incomplete miscarriage necessi tating surgery, and 50 (58.8%) requested surgery within 48 days from t he original diagnosis. These results suggest that the success of expec tant management of missed miscarriage is too low to justify its use in routine clinical practice.