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Retained products after miscarriage

MedGen UID:
44
•Concept ID:
C0000810
•
Pathologic Function
Synonyms: Abortion, Incomplete; Abortions, Incomplete; Incomplete Abortion; Incomplete Abortions; Miscarriage, Missed; Miscarriages, Missed; Missed Miscarriage; Missed Miscarriages
SNOMED CT: Incomplete miscarriage (156072005); Incomplete spontaneous abortion (156072005); Retained products after miscarriage (275425008); Retained tissue after pregnancy loss (275425008); Retained products after spontaneous abortion (275425008); Retained products of conception following spontaneous termination of pregnancy (275425008)

Definition

Premature loss of PREGNANCY in which not all the products of CONCEPTION have been expelled. [from MeSH]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVRetained products after miscarriage

Professional guidelines

PubMed

Treatment Options After a Diagnosis of Early Miscarriage: Expectant, Medical, and Surgical.
Musik T, Grimm J, Juhasz-Böss I, Bäz E
Dtsch Arztebl Int 2021 Nov 19;118(46):789-794. doi: 10.3238/arztebl.m2021.0346. PMID: 34696822Free PMC Article
Management of early pregnancy loss, with a focus on patient centered care.
Shorter JM, Atrio JM, Schreiber CA
Semin Perinatol 2019 Mar;43(2):84-94. Epub 2018 Dec 20 doi: 10.1053/j.semperi.2018.12.005. PMID: 30739750
Management of spontaneous abortion.
Griebel CP, Halvorsen J, Golemon TB, Day AA
Am Fam Physician 2005 Oct 1;72(7):1243-50. PMID: 16225027

Recent clinical studies

Etiology

Treatment Options After a Diagnosis of Early Miscarriage: Expectant, Medical, and Surgical.
Musik T, Grimm J, Juhasz-Böss I, Bäz E
Dtsch Arztebl Int 2021 Nov 19;118(46):789-794. doi: 10.3238/arztebl.m2021.0346. PMID: 34696822Free PMC Article
Methods for managing miscarriage: a network meta-analysis.
Ghosh J, Papadopoulou A, Devall AJ, Jeffery HC, Beeson LE, Do V, Price MJ, Tobias A, Tunçalp Ö, Lavelanet A, Gülmezoglu AM, Coomarasamy A, Gallos ID
Cochrane Database Syst Rev 2021 Jun 1;6(6):CD012602. doi: 10.1002/14651858.CD012602.pub2. PMID: 34061352Free PMC Article
Induced abortion.
ESHRE Capri Workshop Group
Hum Reprod 2017 Jun 1;32(6):1160-1169. doi: 10.1093/humrep/dex071. PMID: 28402552
Management of spontaneous abortion.
Griebel CP, Halvorsen J, Golemon TB, Day AA
Am Fam Physician 2005 Oct 1;72(7):1243-50. PMID: 16225027
Mifepristone.
DeHart RM, Morehead MS
Ann Pharmacother 2001 Jun;35(6):707-19. doi: 10.1345/aph.10397. PMID: 11408990

Diagnosis

Treatment Options After a Diagnosis of Early Miscarriage: Expectant, Medical, and Surgical.
Musik T, Grimm J, Juhasz-Böss I, Bäz E
Dtsch Arztebl Int 2021 Nov 19;118(46):789-794. doi: 10.3238/arztebl.m2021.0346. PMID: 34696822Free PMC Article
Induced abortion.
ESHRE Capri Workshop Group
Hum Reprod 2017 Jun 1;32(6):1160-1169. doi: 10.1093/humrep/dex071. PMID: 28402552
Long-term complications and reproductive outcome after the management of retained products of conception: a systematic review.
Hooker AB, Aydin H, Brölmann HA, Huirne JA
Fertil Steril 2016 Jan;105(1):156-64.e1-2. Epub 2015 Oct 9 doi: 10.1016/j.fertnstert.2015.09.021. PMID: 26453977
Diagnosing miscarriage.
Bottomley C, Bourne T
Best Pract Res Clin Obstet Gynaecol 2009 Aug;23(4):463-77. Epub 2009 Jun 6 doi: 10.1016/j.bpobgyn.2009.02.004. PMID: 19502113
Management of spontaneous abortion.
Griebel CP, Halvorsen J, Golemon TB, Day AA
Am Fam Physician 2005 Oct 1;72(7):1243-50. PMID: 16225027

Therapy

Treatment Options After a Diagnosis of Early Miscarriage: Expectant, Medical, and Surgical.
Musik T, Grimm J, Juhasz-Böss I, Bäz E
Dtsch Arztebl Int 2021 Nov 19;118(46):789-794. doi: 10.3238/arztebl.m2021.0346. PMID: 34696822Free PMC Article
Methods for managing miscarriage: a network meta-analysis.
Ghosh J, Papadopoulou A, Devall AJ, Jeffery HC, Beeson LE, Do V, Price MJ, Tobias A, Tunçalp Ö, Lavelanet A, Gülmezoglu AM, Coomarasamy A, Gallos ID
Cochrane Database Syst Rev 2021 Jun 1;6(6):CD012602. doi: 10.1002/14651858.CD012602.pub2. PMID: 34061352Free PMC Article
Induced abortion.
ESHRE Capri Workshop Group
Hum Reprod 2017 Jun 1;32(6):1160-1169. doi: 10.1093/humrep/dex071. PMID: 28402552
Medical treatments for incomplete miscarriage.
Kim C, Barnard S, Neilson JP, Hickey M, Vazquez JC, Dou L
Cochrane Database Syst Rev 2017 Jan 31;1(1):CD007223. doi: 10.1002/14651858.CD007223.pub4. PMID: 28138973Free PMC Article
Mifepristone.
DeHart RM, Morehead MS
Ann Pharmacother 2001 Jun;35(6):707-19. doi: 10.1345/aph.10397. PMID: 11408990

Prognosis

Risk factors of retained products of conception after miscarriage or termination with gemeprost in the second trimester of pregnancy: a retrospective case-controlled study in Japanese population.
Noguchi T, Shiro M, Nanjo S, Mizoguchi M, Ota N, Mabuchi Y, Yagi S, Minami S, Ino K
J Obstet Gynaecol 2022 Apr;42(3):501-504. Epub 2021 Jun 23 doi: 10.1080/01443615.2021.1916810. PMID: 34162287
Perampanel and pregnancy.
Vazquez B, Tomson T, Dobrinsky C, Schuck E, O'Brien TJ
Epilepsia 2021 Mar;62(3):698-708. doi: 10.1111/epi.16821. PMID: 33666943Free PMC Article
Induced abortion.
ESHRE Capri Workshop Group
Hum Reprod 2017 Jun 1;32(6):1160-1169. doi: 10.1093/humrep/dex071. PMID: 28402552
Diagnosing miscarriage.
Bottomley C, Bourne T
Best Pract Res Clin Obstet Gynaecol 2009 Aug;23(4):463-77. Epub 2009 Jun 6 doi: 10.1016/j.bpobgyn.2009.02.004. PMID: 19502113
Spontaneous abortion.
McBride WZ
Am Fam Physician 1991 Jan;43(1):175-82. PMID: 1986486

Clinical prediction guides

Perampanel and pregnancy.
Vazquez B, Tomson T, Dobrinsky C, Schuck E, O'Brien TJ
Epilepsia 2021 Mar;62(3):698-708. doi: 10.1111/epi.16821. PMID: 33666943Free PMC Article
Endometrial Immune Dysfunction in Recurrent Pregnancy Loss.
Ticconi C, Pietropolli A, Di Simone N, Piccione E, Fazleabas A
Int J Mol Sci 2019 Oct 26;20(21) doi: 10.3390/ijms20215332. PMID: 31717776Free PMC Article
Clinical and imaging predictors of management in retained products of conception.
Kamaya A, Krishnarao PM, Nayak N, Jeffrey RB, Maturen KE
Abdom Radiol (NY) 2016 Dec;41(12):2429-2434. doi: 10.1007/s00261-016-0954-x. PMID: 27853850
Long-term complications and reproductive outcome after the management of retained products of conception: a systematic review.
Hooker AB, Aydin H, Brölmann HA, Huirne JA
Fertil Steril 2016 Jan;105(1):156-64.e1-2. Epub 2015 Oct 9 doi: 10.1016/j.fertnstert.2015.09.021. PMID: 26453977
Diagnosing miscarriage.
Bottomley C, Bourne T
Best Pract Res Clin Obstet Gynaecol 2009 Aug;23(4):463-77. Epub 2009 Jun 6 doi: 10.1016/j.bpobgyn.2009.02.004. PMID: 19502113

Recent systematic reviews

Methods for managing miscarriage: a network meta-analysis.
Ghosh J, Papadopoulou A, Devall AJ, Jeffery HC, Beeson LE, Do V, Price MJ, Tobias A, Tunçalp Ö, Lavelanet A, Gülmezoglu AM, Coomarasamy A, Gallos ID
Cochrane Database Syst Rev 2021 Jun 1;6(6):CD012602. doi: 10.1002/14651858.CD012602.pub2. PMID: 34061352Free PMC Article
Insulin-sensitising drugs (metformin, rosiglitazone, pioglitazone, D-chiro-inositol) for women with polycystic ovary syndrome, oligo amenorrhoea and subfertility.
Morley LC, Tang T, Yasmin E, Norman RJ, Balen AH
Cochrane Database Syst Rev 2017 Nov 29;11(11):CD003053. doi: 10.1002/14651858.CD003053.pub6. PMID: 29183107Free PMC Article
Medical treatments for incomplete miscarriage.
Kim C, Barnard S, Neilson JP, Hickey M, Vazquez JC, Dou L
Cochrane Database Syst Rev 2017 Jan 31;1(1):CD007223. doi: 10.1002/14651858.CD007223.pub4. PMID: 28138973Free PMC Article
Long-term complications and reproductive outcome after the management of retained products of conception: a systematic review.
Hooker AB, Aydin H, Brölmann HA, Huirne JA
Fertil Steril 2016 Jan;105(1):156-64.e1-2. Epub 2015 Oct 9 doi: 10.1016/j.fertnstert.2015.09.021. PMID: 26453977
Medical treatments for incomplete miscarriage.
Neilson JP, Gyte GM, Hickey M, Vazquez JC, Dou L
Cochrane Database Syst Rev 2013 Mar 28;(3):CD007223. doi: 10.1002/14651858.CD007223.pub3. PMID: 23543549

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