University of Washington



Miscarriage Management Digital Resources and Bibliography

Digital Resources

• Training, Education & Advocacy in Miscarriage Management (TEAMM) Select curriculum and training plans:

• eLearning for Pregnancy Loss: cme.ucsf.edu (anticipated; Select "Course Catalog" from left-hand menu, and then "Online Courses")

• Ipas. Ipas Start-up Kit for integrating manual vacuum aspiration (MVA) for early pregnancy loss into women’s reproductive health-care services. . See for additional Ipas interactive training materials.

• The Papaya Workshop Online:

• Pain management:

• Training in Early Abortion for Comprehensive Health (TEACH):

• Reproductive Health Access Project (RHAP):

• Managing Early Pregnancy Loss resource page (UCSF, Innovating Education in Reproductive Health) :

Miscarriage Management Reviews

Yonke N, Leeman LM. First-trimester surgical abortion technique. Obstet Gynecol Clin North Am. 2013 Dec;40(4):647-70.

Nanda K, Lopez LM, Grimes DA, Peloggia A, Nanda G. Expectant care versus surgical treatment for miscarriage. Cochrane Database Syst.Rev. 2012 2012;3.

Prine LW, MacNaughton H. Office management of early pregnancy loss. Am Fam Physician. 2011;84(1):75-82.

Godfrey EM, Leeman L, Lossy P. Early pregnancy loss needn't require a trip to the hospital. The Journal of Family Practice. 2009;58(11):585-590.

Harris LH, Dalton VK, Johnson TRB. Surgical management of early pregnancy failure: History, politics, and safe, cost-effective care. American Journal of Obstetrics and Gynecology. 2007;196:445.e441-445.e445.

Chen BA, Creinin MD. Contemporary management of early pregnancy failure. Clin.Obstet.Gynecol. 2007 Mar 2007;50(1):67-88.

Weeks A, Danielsson KG. Spontaneous miscarriage in the first trimester. BMJ. 2006;332:1223-1224.

Sotiriadis A, Makrydimas G, Papatheodorou S, Ioannidis JPA. Expectant, medical, or surgical management of first-trimester miscarriage: A meta-analysis. Obstetrics & Gynecology. 2005;105:1104-1113.

Miscarriage Management Clinical Trials

Zhang, J., et al. A comparison of medical management with misoprostol and surgical management for early pregnancy failure. N Engl J Med. 2005. 353(8): p. 761-9.

Trinder, J., et al. Management of miscarriage: expectant, medical, or surgical? Results of randomized controlled trial (miscarriage treatment (MIST) trial). BMJ. 2006. 332(7552): p. 1235-40.

Niinimäki M, Karinen P, Hartikainen A, Pouta A. Treating miscarriages: a randomised study of cost-effectiveness in medical or surgical choice. BJOG. 2009 Jun 2009;116(7):984-990.

Miscarriage Diagnosis & Mechanisms

Deutchman M, Tubay AT, Turok DK. First trimester bleeding. American Family Physician. 2009;79(11): 985-992, 993-994.

Doubilet PM, Benson CB, Bourne T, Blaivas M; Society of Radiologists in Ultrasound Multispecialty Panel on Early First Trimester Diagnosis of Miscarriage and Exclusion of a Viable Intrauterine Pregnancy, Barnhart KT, Benacerraf BR, Brown DL, Filly RA, Fox JC, Goldstein SR, Kendall JL, Lyons EA, Porter MB, Pretorius DH, Timor-Tritsch IE. Diagnostic criteria for nonviable pregnancy early in the first trimester. N Engl J Med. 2013 Oct 10;369(15):1443-51.

Feodor Nilsson S, Andersen PK, Strandberg-Larsen K, Nybo Andersen AM. Risk factors for miscarriage from a prevention perspective: a nationwide follow-up study. BJOG: An International Journal of Obstetrics & Gynaecology. 2014;121(11):1375-1385.

Larsen EC, Christiansen OB, Kolte AM, Macklon N. New insights into mechanisms behind miscarriage. BMC medicine. 2013;11:154. PubMed PMID: 23803387. Pubmed Central PMCID: PMC3699442.

Mohan S, Page LM, Higham JM. Diagnosis of abnormal uterine bleeding. Best Practice & Research Clinical Obstetrics and Gynaecology. 2007;21(6):891-903.

Counseling & Patient Preferences

Wallace RR, Goodman S, Freedman LR, Dalton VK, Harris LH. Counseling women with early pregnancy failure: Utilizing evidence, preserving preference. Patient Education and Counseling. 2010; 81(3):454-461.

Dalton VK, Harris LH, Weisman CS, Guire K, Castleman L, Lebovic D. Patient preferences, satisfaction, and resource use in office evacuation of early pregnancy failure. Obstetrics & Gynecology. 2006;108(1):103-110.

Wiebe ER, Adams LA. Women's experience of viewing the products of conception after an abortion. Contraception. 2009;80:575-577.

(This article is based on patients receiving induced abortions, but may also apply to viewing products of conception among miscarriage patients.)

Wieringa-De Waard M, Hartman EE, Ankum WM, Reitsma JB, Bindels PJ, Bonsel GJ. Expectant management versus surgical evacuation in first trimester miscarriage: health-related quality of life in randomized and non-randomized patients. Hum.Reprod. 2002 Jun;17(6):1638-1642.

Geller PA, Psaros C, Kornfield SL. Satisfaction with pregnancy loss aftercare: are women getting what they want? Arch Womens Ment Health 2010 Apr;13(2):111-124.

Smith, L.F., et al., Women's experiences of three early miscarriage management options: a qualitative study. Br J Gen Pract. 2006. 56(524): p. 198-205.

Training Interventions in Miscarriage Management

Paul M, Nobel K. Papaya: A simulation model for training in uterine aspiration. Fam Med. 2005

April;37(4):242-4.

Darney BG, VanDerhei D, Weaver MR, Stevens NG, Prager SW. “We have to what?”: Lessons learned about engaging support staff in an Interprofessional intervention to implement MVA for management of spontaneous abortion. Contraception. 2013; 88(2); 221-225

Darney BG, Weaver MR, Stevens N, Kimball J, Prager SW. The family medicine residency training initiative in miscarriage management: impact on practice in Washington State. Fam Med. 2013 Feb;45(2):102-8.

Darney BG, Weaver MR, VanDerhei D, Stevens NG, Prager SW. “One of those areas that people avoid” a qualitative study of implementation in miscarriage management. BMC Health Services Research. 2013, 13:123.

Please contact TEAMM with any questions or for more information: teamm@uw.edu

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