[Medical treatment for recurrent miscarriages].

Gynecol Obstet Fertil

Service de gynécologie-obstétrique, CHI Jean-Rostand, 141, Grande Rue, 92311 Sèvres, France.

Published: June 2002

AI Article Synopsis

  • There are few effective therapies for recurrent abortions, with aspirin, prednisone, and heparin being the most commonly used options, though their effectiveness compared to expectant management is not well-established except for cases of antiphospholipid syndrome.
  • Progesterone supplementation is used but is not proven to be effective, while also posing low risk to patients.
  • Any therapeutic interventions should prioritize the principle of "do no harm" to the patient.

Article Abstract

Effective proven therapies for recurrent abortions are few. Aspirin, prednisone and heparin are most commonly utilized but are not clearly proven to outperform expectant management except in case of antiphospholipid syndrome. Progesterone supplementation is unproven in effectiveness but of low risk. Therapeutic intervention should be strongly guided by the principle of doing no harm to the patient.

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http://dx.doi.org/10.1016/s1297-9589(02)00362-4DOI Listing

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