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The choice should be given with the potential advantages and drawbacks of every: � expectant (�wait and see� strategy): � avoids medical intervention and may be managed utterly at residence � could contain significant pain and bleeding � unpredictable time frame � miscarriage might even take several weeks � extra profitable for incomplete miscarriage than for missed miscarriage � medical (oral mifepristone adopted 48h later by misoprostol intravaginal tablets): � avoids surgical intervention and common anaesthetic � the girl could retain some feeling of being in management � equivalent an infection and bleeding price as for surgical administration (2�three per cent) � surgical evacuation could also be indicated if medical administration fails � surgical (evacuation of retained merchandise of conception): � can be organized within a number of days and avoids extended comply with-up � very low rate of failure (retained products of conception) � small threat of uterine perforation or anaesthetic complication. 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