Early pregnancy losses occur in 10-20% of all pregnancies. Surgical evacuation has always been the mainstay of management of miscarriages. The main aim of this study was to understand the success rate of expectant management of miscarriage with regards to gestational sac size and period of gestation. The secondary outcome was to measure the satisfaction level and the rate of pregnancy after 6 month of expectant management. Patients diagnosed with missed miscarriages were requested to choose between expectant or surgical management. Those decided for expectant management on “wait and watch” approach were assessed weekly up to 5 completed weeks until complete miscarriage was achieved spontaneously. Surgical evacuation was performed if medically indicated or requested by the patients at any time or at the end of fifth week if complete miscarriage was not achieved. Out of 212 cases, 75 (35.4%) opted for expectant management. Complete miscarriage was achieved in 85.3% of subjects by the end of fifth weeks respectively. Mean of Gestational sac size and period of gestation was not found to influence the success rate of complete spontaneous miscarriage in the expectant management. No morbidity was recorded during the five weeks of the study period. Mean satisfaction score was 9.7±8.3. Pregnancy occurred in 47% of patients within 6 months follow up. The Receiver operation characteristic (ROC) curve analysis suggested the end of second week as the cut off for surgical intervention. This study revealed that expectant management of missed miscarriage is a reliable management of missed miscarriage within the first two weeks.
Introduction: Ovarian cancer is recognizable as the fourth leading cancer in Malaysia. Knowledge on ovarian cancer is low among Malaysian women, which may affect their interpretation of early symptoms and delay presentation of ovarian cancer cases. The aim of this study was to determine the level of ovarian cancer knowledge and its determinants among female nonacademic staff in Universiti Putra Malaysia, Serdang, Malaysia. Methods: A crosssectional study was designed to collect the data from 366 participants via a validated self-administered questionnaire, from April to July 2015. Results: The mean age of participants was 34 ± 7.89. Most of the sample was Malay (96.4%), married (61.5%). A total of 51.4% of respondents reported low knowledge level. Knowledge of ovarian cancer was significantly associated with marital status (p