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SPECIAL FEATURE

Update on Early Pregnancy Loss Management

Early pregnancy failure typically is defined as an intrauterine pregnancy in the first trimester that is not viable, either because the gestational sac is empty or because the embryo or fetus has no cardiac activity. This article will discus the main options for the management of early pregnancy failure: expectant management, medical management with misoprostol, and surgical management. Women’s preferences should guide treatment decisions, given that all three options are medically safe.