TITLE:
Recurrent Miscarriage: Hysteroscopy-Assisted Management
AUTHORS:
Fady M. Shawky Moiety, Abdel Fattah Agameya, Hisham Aly Saleh
KEYWORDS:
Hysteroscopy, Office, Recurrent, Miscarriage
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.8 No.5,
May
4,
2018
ABSTRACT: Objective: To apply office hysteroscopy in
assessment/management of patients with recurrent miscarriage, thus to/or not to
recommend office hysteroscopy as a routine procedure in such cases. Study
design: Retrospective analysis.
Setting: University hospital’s outpatient
abortion clinic. Subjects &
Methodology: Patients’ records during the period between March 2015 and
January 2017 for subjects with at least 2 previous miscarriages, who had undergone office
hysteroscopy were reviewed. Results: Cases with 2 previous miscarriages (n = 95) were
assessed and compared with those with 3 or more miscarriages (n = 105).
Abnormal uterine findings were diagnosed in 24.1% of the former, and 43.8% of
the latter group. The prevalence of uterine lesions among cases with 2 recurrent
miscarriages was 42.1%; meanwhile, for subjects with 3 or more consecutive
miscarriages, it was 43.8%. Conclusion: In addition to safety profile, simplicity and
outpatient basis of use, outpatient hysteroscopy in recurrent miscarriages
would be an added-value to practitioners as a diagnostic and therapeutic tool.