Manual Uterine Aspiration: Adding to the Emergency Physician Stabilization Toolkit

Emergency physicians are often the first physician contact for women with bleeding from first-trimester miscarriage, which is the most common gynecologic emergency; 1 in 4 women experiences miscarriage in her lifetime.1,2 Up to 31% of pregnancies end in miscarriage, contributing to the 1.6% (500,000) of emergency department (ED) visits in the United States annually that are prompted by vaginal bleeding in pregnancy.3-7 Despite the emergency physician's role as a specialist in hemodynamic stabilization, scant emergency medicine literature addresses the management of patients with hemodynamically significant uterine bleeding in the ED.

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