Dilation and curettage (D&C) has been linked to intrauterine adhesions in 40% of those women studied. - GreenMedInfo Summary

Abstract Title:

Prevalence of Asherman's syndrome after secondary removal of placental remnants or a repeat curettage for incomplete abortion.

Abstract Source:

Hum Reprod. 1998 Dec;13(12):3347-50. PMID: 9886512

Abstract Author(s):

I C Westendorp, W M Ankum, B W Mol, J Vonk

Article Affiliation:

Epidemiology&Biostatistics, Erasmus University Medical School, Rotterdam, The Netherlands.

Abstract:

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.

Article Published Date : Dec 01, 1998
Study Type : Human Study
Additional Links
Diseases : Asherman's syndrome : CK(11) : AC(2), Intra-Uterine Adhesions : CK(31) : AC(4), Miscarriage: Medical Intervention : CK(125) : AC(14)
Anti Therapeutic Actions : Dilation and Curettage (D&C) : CK(115) : AC(13), Obstetric Interventions : CK(989) : AC(64)

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