title: Intrauterine adhesions after conservative and surgical management of spontaneous abortion.
abstract: OBJECTIVE
  To determine the frequency of intrauterine adhesions (IUA) after conservative management, medical evacuation, and surgical evacuation for spontaneous abortion.
  
  
  METHODS
  Prospective follow-up study (Canadian Task Force classification II-2).
  
  
  METHODS
  Gynecology unit in a teaching hospital.
  
  
  METHODS
  Eighty-two women who had been treated with conservative management, medical evacuation, or surgical evacuation of retained products of conception after spontaneous abortions in a randomized, controlled trial.
  
  
  RESULTS
  Hysteroscopic diagnosis of IUA 6 months after initial treatment was the primary outcome measure. No cases of IUA were found in patients managed conservatively or by medical evacuation, whereas two cases (7.7%) of filmy IUA were detected in those managed by surgical evacuation. There was no statistical significant difference in the rate of self-reported reduced menstrual flow 6 months after initial treatment by any method.
  
  
  CONCLUSIONS
  The prevalence of IUA was low after each modality of treatment for spontaneous abortion. Conservative management and medical evacuation are both acceptable alternatives to standard surgical evacuation.
authors.affiliation: Department of Obstetrics and Gynaecology, Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, New Territories, Hong Kong.
authors.forename: Wing Hung
authors.initials: WH
authors.lastname: Tam
authors.forename: Woon Chung
authors.initials: WC
authors.lastname: Lau
authors.forename: Lai Ping
authors.initials: LP
authors.lastname: Cheung
authors.forename: Pong Mo
authors.initials: PM
authors.lastname: Yuen
authors.forename: Tony Kwok-Hung
authors.initials: TK
authors.lastname: Chung
mesh_terms: D000027:Abortion, Incomplete / Q000601:surgery / Q000628:therapy*; D000022:Abortion, Spontaneous / Q000601:surgery / Q000628:therapy*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015907:Hysteroscopy; D011183:Postoperative Complications; D011247:Pregnancy; D015995:Prevalence; D011446:Prospective Studies; D000267:Tissue Adhesions; D014591:Uterine Diseases / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology*