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Manual removal of the placenta--its role in intrauterine adhesion formation
1Department of Obstetrics and Gynecology Assaf Harofeh Medical Center, Zerifin, Israel.
International Journal of Fertility and Menopausal Studies
|September 1, 1996
Objective:
To determine the role of postpartum intrauterine manipulation of the uterine cavity in the formation of intrauterine adhesions.
Patients And Methods:
Diagnostic hysteroscopy was performed following manual removal of the placenta in 48 patients.
Results:
Intrauterine adhesions were observed in only one case (2%), and an incomplete uterine septum was found in seven cases (15%).
Conclusions:
Manual removal of the placenta does not seem to predispose to the formation of uterine adhesions. Incomplete uterine septum may be involved in some of the cases of retained placenta.