HYSTEROSCOPIC EVALUATION OF UTERINE CAVITY OF WOMEN WITH RECURRENT MISCARRIAGE: SINE QUA NON AFTER TWO ABORTIONS?

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Dr. Vinita Sarbhai
Dr. Mohini Paul
Dr. Shubhi Vishwakarma

Abstract

Background: Hysteroscopy is a gold standard for diagnosis of structural uterine abnormilities, which are an important cause of recurrent miscarriages. Hysteroscopy is an invasive procedure; therefore, it should be justified before being recommended for women with two abortions.



Objective: To compare the incidence of structural uterine abnormalities in women with two miscarriages to those women with three or more miscarriages, in order to see the justification of hysteroscopy after two pregnancy losses. Materials and Methods: A total of 50 women with recurrent miscarriages were enrolled in the study and hysteroscopy was performed after relevant investigations. The abnormilities so found were compared and analyzed in the two groups i.e women with two abortions and women with three or more abortions.



Results: Out of 50 women, 30 (60%) women had previous two abortions and 20 (40%) women had three or more abortions. On hysteroscopy, 23 (46%) women were found to have structural uterine abnormalities. They were present in comparable proportion of women with two abortions (53.33%) versus women with three or more abortions (35%) (p value > 0.05).



Conclusion: Hysteroscopic approach should be recommended as a modality of choice for diagnosis of anatomical uterine defects in patients with two or more consecutive miscarriages.



Keywords: Recurrent miscarriage; Hysteroscopy; Uterine malformation

Published Aug 6, 2019

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