Manual removal of the placenta--its role in intrauterine adhesion formation.
OBJECTIVE
To determine the role of postpartum intrauterine manipulation of the uterine cavity in the formation of intrauterine adhesions.


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.
Golan
A
A
Department of Obstetrics and Gynecology Assaf Harofeh Medical Center, Zerifin, Israel.
Raziel
A
A
Pansky
M
M
Bukovsky
I
I
D000328:Adult; D005260:Female; D006801:Humans; D015907:Hysteroscopy; D018457:Placenta, Retained / Q000628:therapy*; D011247:Pregnancy; D011446:Prospective Studies; D000267:Tissue Adhesions / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D014591:Uterine Diseases / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy