Surgical Evacuation of First Trimester Missed Miscarriage with & without use of Transabdominal Ultrasound: A Randomized Clinical Trial
Essam R. Othman1, Ahmed M. Abbas1*, Mohamed K. Ali1, Mahmoud Abdel-Reheem1, Diaa Eldeen M. Abd El Aal1, Gamal H. Sayed1
Affiliation
1Department of Obstetrics & Gynecology, Women Health Hospital, Faculty of Medicine, Assiut University
Corresponding Author
Dr. Ahmed M. Abbas, MD, Department of Obstetrics and Gynecology, Assiut University, Egypt, Women Health Hospital, 71511, Assiut Egypt; Tel: +20 88 2414616/ Cell: +20 10033851833, Fax: +20 88 9202503; E-mail: bmr90@hotmail.com
Citation
Abbas, A.M., et al. Surgical Evacuation of First Trimester Missed Miscarriage With & Without Use of Transabdominal Ultrasound: A Randomized Clinical Trial. (2016) J Gynecol Neonatal Biol 2(1): 5-8.
Copy rights
©2 016 Abbas, A.M. This is an Open access article distributed under the terms of Creative Commons Attribution 4.0 International License.
Keywords
Abstract
Background: Surgical evacuation is one of the most popular methods of termination of pregnancy in cases of missed miscarriage. The current study aims to compare the improvement of surgical evacuation of first trimester miscarriage when done with and without transabdominal ultrasonographic guide.
Materials and methods:
Setting: Women Health Hospital, Assiut University, Egypt.
Design: A randomized clinical trial conducted on 200 pregnant women with 1st trimester miscarriage who scheduled for surgical evacuation. It carried out in the period between the 1st of May 2014 and the 30th of April 2015. The women were randomly assigned to either undergone surgical evacuation blindly (group I) or under ultrasound guidance (group II). The main outcome measures were achievement of complete miscarriage, operative time and blood loss during the procedure.
Results: Two-hundred participants were recruited in the study. The mean amount of blood loss during the procedure was significantly higher in group I when compared with group II (P = 0.002). Also there was a statistical significant difference in the operative time between both groups, group I showed longer time than in group II (P = 0.0001). After surgical evacuation, 14 cases (14%) in group I and 3 cases (3%) in group II were reported to have remnants of conception. No cases of uterine perforation occurred in both groups.
Conclusion: The use of intraoperative ultrasound during surgical evacuation is associated with a significant reduction in its complications, however; the cost of using ultrasound needs further investigations.
