Gynaecological infection after management of miscarriage in the first trimester is uncommon (2-3%), and the rate is independent of the method of management used—medical, surgical, or expectant. Trinder and colleagues (p 1235) randomised 1200 women with early fetal demise or incomplete miscarriage to one of the three modes of management. The authors found no differences in the rates of infection, but more unplanned admissions and unplanned surgical curettage occurred after expectant and medical management than after surgical management.
Figure 1.
Credit: BSIP/VEM/SPL