Incidence of pregnancy after expectant, medical, or surgical management of spontaneous first trimester miscarriage: long term follow-up of miscarriage treatment (MIST) randomised controlled trial

摘要

STUDY QUESTION Does management method for early miscarriage affect long term fertility rates?SUMMARY ANSWER Method of miscarriage management does not affect subsequent pregnancy rates with around four in five women giving birth within five years of the index miscarriage.WHAT IS KNOWN AND WHATTHIS PAPER ADDS After miscarriage women are increasingly offered the,option of expectant or medical management as well as traditional surgical care, but the long term effects of the three methods in terms of subsequent fertility are not known. The trial shows that long term fertility is not affected by the method of management.