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.
Highlights
By definition, 3 pregnancy terminations in a row before 20 weeks, is termed recurrent pregnancy loss [1]
Cases with 2 previous miscarriages (n = 95) were assessed and compared with those with 3 or more miscarriages (n = 105), where no significant differences were found between both groups in terms of age, parity, or body mass index (BMI)
The prevalence of uterine lesions among cases with 2 recurrent miscarriages was 42.1% (22.1% Acquired, and 20% congenital), for subjects with 3 or more consecutive miscarriages, it was 43.8% (31.4% Acquired, and 12.4% congenital) (Table 1, Figure 1).The duration of Office hysteroscopy (OH) procedure ranged from 10 - 15 minutes
Summary
3 pregnancy terminations in a row before 20 weeks, is termed recurrent pregnancy loss [1]. Would start seeking a professional advice, and investigating recurrent miscarriages after the second pregnancy loss, as thought to be helping detect the cause early enough to treat. This has not been shown beneficial [2]. The hysteroscopy is still an invasive procedure and its role in routine management of recurrent miscarriages is to be evaluated. The aim of this study was to test the application of office hysteroscopy in assessment/management of patients with recurrent miscarriage, to/or not to recommend it as a routine procedure in such cases
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