title: Comparison of Reproductive Outcomes following Retained Products of Conception after Vaginal Delivery versus First-Trimester Abortion.
abstract: OBJECTIVE
  To compare the reproductive outcomes of women with pathologically confirmed retained products of conception (RPOC) following spontaneous vaginal delivery versus first-trimester pregnancy termination.
  
  
  METHODS
  We retrospectively reviewed all cases of women who underwent uterine re-evacuation due to pathologically confirmed RPOC between January 1, 2000 and December 31, 2010. Reproductive outcomes were compared between women with RPOC following spontaneous vaginal delivery and those who underwent dilatation and curettage (D&amp;C) due to first-trimester abortion.
  
  
  RESULTS
  The study group consisted of 176 patients with pathologically confirmed RPOC. Of those, 83 (47.1%) were admitted after spontaneous vaginal delivery and 93 (52.9%) following D&amp;C due to first-trimester abortion. There were no significant differences in the conception rate, the mean time to conception and the rate of a new infertility problem between women with RPOC after vaginal delivery compared to those following pregnancy termination (p > 0.05). Furthermore, there were no significant differences between the groups in pregnancy outcomes following RPOC.
  
  
  CONCLUSIONS
  Pathologically confirmed RPOC harbors the same reproductive outcomes following spontaneous vaginal delivery and first-trimester pregnancy termination.
authors.affiliation: Department of Obstetrics and Gynecology, Assaf Harofeh Medical Center, affiliated with Sackler School of Medicine, Tel Aviv University, Zerifin, Israel.
authors.forename: Yaakov
authors.initials: Y
authors.lastname: Melcer
authors.forename: Noam
authors.initials: N
authors.lastname: Smorgick
authors.forename: David
authors.initials: D
authors.lastname: Schneider
authors.forename: Moty
authors.initials: M
authors.lastname: Pansky
authors.forename: Reuvit
authors.initials: R
authors.lastname: Halperin
authors.forename: Ido
authors.initials: I
authors.lastname: Ben-Ami
mesh_terms: D000028:Abortion, Induced / Q000009:adverse effects; D000022:Abortion, Spontaneous / Q000453:epidemiology*; D000328:Adult; D036861:Delivery, Obstetric; D004107:Dilatation and Curettage / Q000009:adverse effects / Q000379:methods*; D005260:Female; D006801:Humans; D018457:Placenta, Retained / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D011247:Pregnancy; D011248:Pregnancy Complications / Q000453:epidemiology* / Q000209:etiology; D011256:Pregnancy Outcome; D018873:Pregnancy Rate; D011261:Pregnancy Trimester, First; D012189:Retrospective Studies; D055815:Young Adult