Retained products of conception (RPOC) and intrauterine adhesions (IUA) may occur following suction curettage for early miscarriage and cause secondary infertility, recurrent pregnancy loss and pregnancy complications. The aim of this study is to investigate whether adding hysteroscopy to suction curettage reduces the rates of RPOC and IUA.
This is a descriptive, prospective study. Women aged 18-40 years admitted for surgical evacuation in cases of early missed abortion in a single university affiliated medical center are being recruited. All procedures performed under general anesthesia following cervical ripening with vaginal Misoprostol. Before the evacuation, a diagnostic hysteroscopy was performed to identify the pregnancy's implantation wall. Subsequently, ultrasound guided suction and curettage directed to the implantation wall is done. Finally, the uterine cavity is evaluated by hysteroscopy for RPOC. Participants are scheduled for follow-up diagnostic office hysteroscopy 2 months after termination of pregnancy for assessment of IUA and RPOC. However, due to restrictions on elective surgical procedures brought on by the Covid-19 pandemic, the follow-up hysteroscopy examination was postponed until 5 to 6 months after termination of pregnancy.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
PREVENTION
Masking
NONE
Enrollment
40
adding Hysteroscopy before and after suction curettage for early missed abortion to define the wall of implantation and look for retained products of conception
Shamir Medical Center
Be’er Ya‘aqov, Israel
RECRUITINGthe occurrence of Retained products of conception following suction curettage.
Time frame: at the end of suction curettage procedure
the occurrence of intra uterine adhesions following targeted suction curettage
Time frame: on follow-up office hysteroscopy, 5-6 months after the primary procedure
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.