Management of early pregnancy loss, with a focus on patient centered care

Jade M. Shorter, Jessica M. Atrio, Courtney A. Schreiber

Research output: Contribution to journalReview articlepeer-review

19 Scopus citations


Early pregnancy loss is the most common complication in pregnancy. Management options for miscarriage include expectant management, medical intervention, or surgical aspiration. Non-surgical and surgical management are all safe and acceptable options for medically uncomplicated patients. Patient and provider preferences contribute profoundly to clinical decisions about miscarriage management. Shared-decision making and evidence based counseling have been shown to significantly improve patient satisfaction with early pregnancy loss care. This review article will discuss the epidemiology and risk factors of early pregnancy loss, current evidence and clinical practice guidelines around management options, and provider and patient preferences for early pregnancy loss management.

Original languageEnglish (US)
Pages (from-to)84-94
Number of pages11
JournalSeminars in Perinatology
Issue number2
StatePublished - Mar 2019


  • EPL
  • Early pregnancy failure
  • Early pregnancy loss
  • Miscarriage

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology


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