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One patient requested treatment with aspiration and the remaining 12 cases were managed with observation for a median of 23days (range 7-50days). There were no cases of endometritis or cases requiring dilatation and curettage for residue tissue. Further, no cases developed laceration of the residual cervix and no loss of cerclage sutures after discharge was noted. Expectant management seems to be safe and appropriate for first trimester miscarriage after abdominal radical trachelectomy. Expectant management seems to be