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Hysteroscopic findings after missed abortion
A Golan1, D Schneider, O Avrech
1Department of Obstetrics and Gynecology, Assaf Harofeh Medical Center, Zerifin, Israel.
Fertility and Sterility
|September 1, 1992
Summary
Missed abortion does not significantly increase the risk of intrauterine adhesions. However, uterine anomalies, like septa, are linked to missed abortions and can be detected via hysteroscopy.
Area of Science:
- Reproductive Medicine
- Gynecologic Surgery
Background:
- Missed abortion is a pregnancy complication.
- Intrauterine adhesions can occur after procedures for missed abortion.
Purpose of the Study:
- To investigate the relationship between missed abortion and intrauterine pathology.
- To assess the incidence of intrauterine adhesions and anomalies post-missed abortion management.
Main Methods:
- Hysteroscopy was performed 8-12 weeks after dilatation and curettage (D&C) for missed abortion.
- Sixty patients were evaluated for intrauterine adhesions and anomalies.
Main Results:
- Only 16.7% of patients developed intrauterine adhesions, mostly mild.
- Previous missed abortion was noted in 60% of those with adhesions.
- Uterine anomalies, primarily incomplete septa, were found in 25% of cases.
Conclusions:
- Missed abortion is not a major predisposing factor for intrauterine adhesions.
- Uterine anomalies, particularly septa, are significant risk factors for missed abortion.
- Hysteroscopy is effective for diagnosing uterine anomalies and excluding adhesions post-missed abortion.