Early Pregnancy Loss in the Emergency Department

Early pregnancy loss is common and requires careful diagnosis using strict ultrasound criteria before confirming nonviability. Stable patients should be offered all three management options—expectant, medical, and procedural—with medical therapy using mifepristone and misoprostol as an effective, evidence-based approach. Most cases can be managed with clinical follow-up rather than routine imaging, with clear return precautions and patient-centered counseling guiding safe disposition.