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                    The early pregnancy loss team can help guide you in choosing how to manage your miscarriage, based on your needs and physician's recommendations.

                    Spontaneous miscarriage

                    Advantages Disadvantages Success rate (approximate)
                    • non-invasive
                    • your body naturally expels the non-viable pregnancy
                    • no anesthesia or surgery risks
                    • allows for your privacy 
                    • you can be at home with your support people
                    • unpredictable outcome and timeframe
                    • most spontaneous miscarriages take two to four weeks to complete
                    • you may have prolonged bleeding and cramping
                    • you may still need interventions
                    • 85% - 91% when a miscarriage has already started
                    • 76% when the miscarriage has not started yet
                    • 66% with anembryonic pregnancies

                    Medical management

                    Advantages Disadvantages Success rate (approximate)
                    • non-invasive, safe and effective
                    • no anesthesia or surgery risks
                    • allows for your privacy
                    • you can be at home with your support people
                    • may cause heavier or longer bleeding
                    • may cause short-term gastrointestinal side effects
                    • you may still need a dilation and curettage if your body does not expel all of the pregnancy tissue
                    • 99% when a miscarriage has already started 
                    • 88% when the miscarriage has not started yet
                    • 81% with anembryonic pregnancies

                    Dilation and curettage in a women's clinic

                    Advantages Disadvantages Success rate (approximate)
                    • predictable and fast 
                    • less likely to need further treatment
                    • pain control with local, oral or IV medication
                    • rare risks associated with invasive procedure
                    • fewer pain control options in some settings
                    • you will need someone to drive you home afterward
                    98%

                    Dilation and curettage in an operating room

                    Advantages Disadvantages Success rate (approximate)
                    • predictable and fast
                    • less likely to need further treatment
                    • you can be asleep during the procedure
                    • rare risks associated with invasive procedure and anesthesia
                    • costs more than an office-based dilation and curettage
                    • takes longer than an office-based dilation and curettage
                    • risk for more bleeding complications
                    • you will need someone to drive you home afterward
                    98%

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