| Autor: |
Adiel, Cohen, Gilad, Karavani, Amit, Zamir, Ayalon, Hadar, Henry H, Chill, Avraham, Zini |
| Rok vydání: |
2022 |
| Předmět: |
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| Zdroj: |
Minerva Obstetrics and Gynecology. |
| ISSN: |
2724-6450 |
| DOI: |
10.23736/s2724-606x.22.05192-2 |
| Popis: |
Dilation and Curettage (DC) may be performed with or without transabdominal ultrasound guidance. We aimed to evaluate the association between the use of ultrasound guidance during DC for first-trimester missed abortion (MA) and DC related complication rates.A retrospective cohort study including women in the age of 20-45 years, who underwent DC for first-trimester MA in a hospital-based setting between 2013-2019. The study population was divided into two groups - the study group which included women who underwent DC with ultrasound guidance (US group) and the control group, which included women who underwent DC without ultrasound guidance (N-US group). Gynecologic, obstetric and operative related data were collected from electronic medical records.Three-hundred and seventy-eight women were included in the study, 86 women in the US group and 292 women in N-US group. Baseline maternal characteristics and procedure-related characteristics did not differ between the groups. No significant difference between the US group and N-US group was shown when comparing DC related complications - retained products of conception rate (2.3% vs. 5.5%, respectively; p=0.385), uterine perforation rate (1.2% vs. 0.3%, respectively; p=0.404), and the total complication rate (8.1% vs. 12.3%, respectively; p=0.338). In a multivariate analysis, the use of ultrasound guidance during DC was not found to be associated with lower complication rate (adjusted Odds Ratio (aOR) 95% confidence interval (CI) 1.468 (0.578-3.729), p=0.419).Performance of DC under ultrasound guidance for first-trimester MA, in a hospital-based setting, was not associated with lower complication rate, suggesting that the common practice of performing DC without the use of ultrasound is an acceptable approach. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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