Intrauterine adhesions after conservative and surgical management of spontaneous abortion.
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.
Tam
Wing Hung
WH
Department of Obstetrics and Gynaecology, Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, New Territories, Hong Kong.
Lau
Woon Chung
WC
Cheung
Lai Ping
LP
Yuen
Pong Mo
PM
Chung
Tony Kwok-Hung
TK
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*