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Should tissue from pregnancy termination and uterine evacuation routinely be examined histologically?

April 26, 2017evacuation examined histologically pregnancy routinely termination tissue uterine

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Should tissue from pregnancy termination and uterine evacuation routinely be examined histologically?

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Heath V; Chadwick V; Cooke I; Manek S; MacKenzie IZ Department of Gynaecology, John Radcliffe Hospital, Oxford, UK. OBJECTIVE: To assess the value of routine histological examination of tissue samples collected at termination of pregnancy in the first trimester and emergency surgical uterine evacuation. SETTING: The gynaecological department of a teaching hospital. DESIGN: Prospective study of women attending the gynaecological department in a 12-month period. PARTICIPANTS: All women undergoing a therapeutic first trimester medical or surgical abortion or an emergency surgical evacuation of a failed pregnancy, suspected incomplete spontaneous miscarriage or incomplete induced abortion. MAIN OUTCOME: Association of pre-operative clinical diagnosis and the post-operative histological result. RESULTS: Of 1,576 women studied, the histological report confirmed that products of conception were obtained in 1,465 (93%); in two women (0.13%) molar changes were reported confirming the preoperati