Curettage vs. nonsurgical management in women with early spontaneous abortions. The effect on fertility.
Among 114 women with early spontaneous abortions, low beta-human chorionic gonadotropin levels and no ultrasonographically demonstrable residual tissue in the uterine cavity, 68 underwent uterine curettage, and 46 were managed conservatively. No complications, such as bleeding or infection, were observed in either group, and the probability of conception, outcome of subsequent pregnancies and rate of subsequent abortions were similar. Curettage offers no advantage over conservative management in selected patients with early abortions.
Ben-Baruch
G
G
Department of Obstetrics and Gynecology, Sheba Medical Center, Tel Hashomer, Israel.
Schiff
E
E
Moran
O
O
Menashe
Y
Y
Mashiach
S
S
Menczer
J
J
D000022:Abortion, Spontaneous / Q000601:surgery*; D000328:Adult; D003475:Curettage / Q000009:adverse effects*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007246:Infertility / Q000209:etiology*; D011247:Pregnancy; D011256:Pregnancy Outcome