Prevalence of Asherman's syndrome after secondary removal of placental remnants or a repeat curettage for incomplete abortion
This prospective study assesses the prevalence of intrauterine adhesions among women undergoing secondary removal of placental remnants after delivery, or a repeat curettage for incomplete abortions, and evaluates risk factors associated with the presence of intrauterine adhesions. In 50 women, undergoing either a secondary removal of placental remnants more than 24 h after delivery, or a repeat curettage for incomplete abortions, ambulatory hysteroscopy was performed 3 months after the intervention. Intrauterine adhesions were found in 20 of the women (40%): five patients had Asherman's syndrome grade I, six had grade II, six had grade III and three had grade IV. In women with menstrual disorders a statistically significant 12-fold increased risk for Asherman's syndrome grade II-IV was found. Previous abortion as well as infection during surgery were associated with a mildly but non-significant increased risk. Based on our findings, hysteroscopy is recommended only in those patients who develop menstrual disorders, either after secondary intervention for placental remnants after delivery or after a repeat curettage.
|Keywords||Abortion, Incomplete/*complications/surgery, Adult, Female, Gynatresia/*etiology, Humans, Menstruation Disturbances/complications, Placenta, Retained/*complications/surgery, Pregnancy, Prevalence, Prospective Studies, Risk|
Westendorp, I.C.D., Ankum, W.M., Mol, B.W.J., & Vonk, J.. (1998). Prevalence of Asherman's syndrome after secondary removal of placental remnants or a repeat curettage for incomplete abortion. Human Reproduction. Retrieved from http://hdl.handle.net/1765/8991