Patient preferences for expectant management vs. surgical evacuation in first-trimester uncomplicated miscarriage

Margreet Wieringa-De Waard*, Patrick J.E. Bindels, Jeroen Vos, Gouke J. Bonsel, Peep F.M. Stalmeier, Willem M. Ankum

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

27 Citations (Scopus)

Abstract

Objective Expectant and surgical management are widely accepted treatment options in case of a miscarriage. In the absence of differences in complications, the choice between both options can be based on patient preferences. Study Design and Setting We studied treatment preferences for future miscarriages in women with a miscarriage randomized to expectant or surgical treatment or managed according to their own choice. Results Data from 136 patients were analyzed. Women randomized either to expectant or surgical management opted for the allocated treatment in future in 55 and 74%, respectively. Of the women randomized to expectant management and with a successful spontaneous loss, 71% opted again for this treatment. Women who were managed according to their own treatment choice, held on to their initial treatment preference (expectant vs. surgical management; 84 and 88%, respectively). Preferences after treatment were strong. Conclusion A strong treatment preference should be taken into account in the counseling process. Women without a preference should be well informed on all medical aspects of the two options in order to facilitate informed-shared decision-making.

Original languageEnglish
Pages (from-to)167-173
Number of pages7
JournalJournal of Clinical Epidemiology
Volume57
Issue number2
DOIs
Publication statusPublished - Feb 2004
Externally publishedYes

Bibliographical note

Funding Information:
The study was supported by grants from the Dutch Health Research and Development Council (ZON) and the Dutch Ministry of Health, Welfare & Sports.

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