Management of missed abortion in private practice

There is diversity of opinion concerning the proper management of missed abortion. Both conservative treatment with spontaneous evacuation of the uterus and surgical evacuation have their advocates.In a personal series of 11 cases of missed abortion, 10 terminated spontaneously and the patients were then curetted. One pregnancy was interrupted by curettage. This was the only morbid patient of the group. There was no afibrinogenemia, infection, or maternal death.No attempt is made to draw conclusions since there are so few patients. On the other hand the conservative management of missed abortion may be a good choice for the private practitioner because it is traditional and offers him protection if complications arise. This view is advanced despite the fact that valuable reproductive time is wasted.