[Systematic examination of the uterine cavity after parturition]

The revision of uterine cavity afterbirth should be a process preventing complications immediate or late during puerperium, due to the retention of ovular remains that are not diagnosed in opportunely, avoiding so the risk that implies for the patients who show bleeding that leads them to complications of hemorrhaging in the interest of puerperal infection, with consequences so serious such as mutilation or death, otherwise undergoing surgery under poor conditions, in addition to the extra administrative costs, that imply surgery and those costs, derived from hospitalization; 1,205 patients were studied. On 1,155 the revision of the uterine cavity was performed; only one of them developed complications irrelevant to the process, consisting in fever, uterine subinvolution, more than normal hemorrhaging. On fifty patients the uterine cavity afterbirth was not found, fourteen patients experienced greater than normal hemorrhaging and hypothermia two to five days after being released, caused by the presence of ovarian remains, requiring posterior hospitalization. One patient experienced inflammation of the peritoneo due to the presence of placental remains.