Behandelopties voor vroege miskramen

• Miscarriage is the most common complication during the first trimester of pregnancy.
• Three treatment options are available for women who experience early miscarriage: expectant management, curettage, or medical treatment. Curettage has traditionally been the usual treatment, but both expectant management and medical management with misoprostol are more cost-effective.
• Curettage increases the risk of surgical complications and intra-uterine adhesions (Asherman syndrome), and is associated with preterm birth.
• After adequate counselling, the woman's preference is a decisive factor; the choice of treatment for early miscarriage lends itself ideally to shared decision making.
• The Netherlands lacks a multidisciplinary guideline on the treatment of women following miscarriage.

Conflict of interest and financial support: ICMJE forms provided by the authors are available online along with the full text of this article.