Histological analysis of the products of conception following first trimester 
abortion at Jordan University Hospital. 
 
Fram KM. 

European Journal of Obstetrics, Gynecology, & Reproductive Biology. 105(2):147-9, 2002 Nov 15.

UI: 12381477  

 

OBJECTIVE: To evaluate the value of histopathological examination of products of conception in first trimester abortion.

SETTINGS: University hospital.

DESIGN: Retrospective record review over 2 years, from January 1999 to January 2001.

PATIENTS: A total number of 293 patients with the diagnosis of first trimester abortion were admitted and their abnormal pregnancy evacuated.

RESULTS: The highest type of abortion among the studied group was incomplete abortion, 140 patients (48%), and surgical evacuation was the most common method of termination, 202 patients (69%). The histopathology reports confirmed the pregnancy in all patients and revealed partial mole in 51 patients (17%), undiagnosed abnormality in 8 patients (2.7%), suggesting the possible cause for recurrent pregnancy loss in 4 patients (1.4%).

CONCLUSION: Histopathological assessment for the products of conception proved to be an important tool in detecting molar pregnancy and hydropic changes that necessitate special follow-up protocol and unmasking ectopic pregnancies for further management.

 

Institution
Department of Obstetrics and Gynaecology, Jordan University Hospital, P.O. Box 2756, Tela'a Al-Ali, 11953 Amman, Jordan. kamilfram@hotmail.com