Expectant and Medication Management

Patient experiences of Expectant and Medication Management for EPL are similar, in that the completion of the miscarriage generally occurs at home or outside of the clinical setting. These principles as well as important differences between the two options are reviewed here. Dosing guidelines for misoprostol and adjunct medications are also presented.


Clinical Scenario #3: EPL Diagnosis at a Routine Prenatal Visit

During a routine prenatal visit, the provider suspects an embryonic demise. This scenario reviews important strategies for patient-centered news delivery of EPL diagnosis. Shared decision-making techniques help this patient choose medication management.