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Family Medicine residents are not routinely trained to manage miscarriages using MVA, but have the potential to increase access to this procedure.
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A week-and-a-half before my flight I learned that the baby had died, and on 16 December I had a medically managed miscarriage and was advised that it would be unwise to travel.
It is in the context of these changing meanings of and practices for managing miscarriage and stillbirth that I return to my analysis of Samina's request for an early Caesarian in her third pregnancy.
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Pregnancy-related conditions included a range of concerns such as avoiding miscarriage, managing early pregnancy sicknesses (stomachache, vomiting, and diarrhea), strengthening the fetus, and preparing for childbirth.
This meant not only would it be difficult for me to conceive, but I would also be at high risk for a miscarriage even if I did manage to get pregnant.
Higher hormone levels sometimes increase the risk of miscarriage in women with PCOS who do manage to get pregnant.
Evidence shows that giving women information about the likely outcome can manage expectations and reduce anxiety, 12 and scoring systems and models now exist that give an accurate prediction regarding the likelihood of miscarriage.
Manage, manage, manage.
Our belief is that in the first trimester, miscarriage could be managed as per usual protocols, as the cervical canal should admit a small suction curette.
In the past, Dutch women diagnosed with miscarriage were either managed expectantly, with complete expulsion of the products of conception knowing to occur within two weeks in 50% of women, or were offered surgical management (curettage) as an alternative option [ 2, 3].
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CEO of Professional Science Editing for Scientists @ prosciediting.com