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ERPC Evacuation of Retained Products of Conception Surgical management of miscarriage can ensure that all of the pregnancy tissue is removed from your womb. Miss Arafa is an experienced gynaecologist who can perform the evacuation of retained products of conception ERPC procedure.
She can also provide the support that you need after a miscarriage. Request An Appointment Please fill in the form below to send us your appointment request and we will get back to you as soon as possible. Visiting Clinic Locations Please click on the images below to find out more about visiting clinics address, map and directions. During the Coronavirus COVID pandemic in particular, you are much less likely to be offered surgery, so you will most likely have to decide between natural expectant or medical management of miscarriage at home rather than being treated in hospital.
Having to choose between these methods can be difficult and distressing, but we hope that the information we have here will help you to understand the different options better, make it easier to decide and to prepare for and cope with the process.
It may help to know that research [1] comparing natural, medical and surgical management found that:. A more recent review [2] of 46 studies of miscarriage management concluded that all methods are equally effective in completing the process of miscarriage and recommended that women should be able to choose the method they feel best able to cope with.
We provide brief information below, but you can read more detail and some personal experiences of all these types of management on this page as well as in this leaflet. There is also more detailed information about management of ectopic pregnancy here , of late miscarriag e here and of molar pregnancy here.
Some women prefer to wait and let the miscarriage happen naturally — and hospitals may recommend this too, especially in the first three months of pregnancy.
It can be difficult to know what to expect and when it may take days or weeks before the miscarriage begins but most women will experience abdominal cramps, possibly quite severe, and pass blood clots as well as blood. Some women describe the process as similar to the contractions of labour and it can be a long and exhausting process. It can help to have pain-killers such as ibuprofen to hand, as well as a supply of extra-absorbent pads.
You may also find it helpful to read personal accounts of natural management from Keri and Pavla. Some women experience severe abdominal cramps as well as heavy bleeding with this option, but they may prefer this to an operation. If your baby has died after about 14 or 15 weeks, you are most likely to be managed medically. As with natural management, some women say that the process is similar to the contractions of labour and it can be a long and exhausting process.
It can help to have pain-killers such as paracetemol or co-codamol to hand, as well as a supply of extra-absorbent pads. Hospitals sometimes differ in the way they give the treatment — for example, whether treatment is carried out in hospital or at home. In all cases, though, they should give you clear information about what to expect. You may also find it helpful to read personal accounts of medical management, such as these from Amy and Michelle.
This is an operation to remove the remains of your pregnancy. It is usually done under general anaesthetic but in some hospitals it can be done under local anaesthetic, when you stay awake. See MVA below. During pregnancy, the treatment is usually conservative since surgery is associated with an increased rate of complications such as preterm labor and spontaneous abortion.
In choledocholithiasis, endoscopic retrograde cholangiopancreatography ERCP is the first-line treatment of choice.
However, a clear-cut safe radiation dose for ERCP in pregnancy is still unknown. A research article to be published on August 7, in the World Journal of Gastroenterology addresses this question. A study conducted by Assoc. Five pregnant patients with choledocholithiasis and one with biliary fistula after hepatic hydatid disease surgery were included. ERCP procedures were performed without the use of radiation.
Confirmation of successful therapeutic ERCP was made by laboratory and clinical improvement of the patients. The fistula of the patient with hepatic hydatid surgery was closed after placement of the plastic stent by non-radiation ERCP. Ultrasonographic confirmation of stone extraction was made in all patients with choledocholithiasis.
Post-ERCP complications, premature birth, abortion or intrauterine growth retardation were not observed. The clinical follow-up of the patients until discharge was uneventful.
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