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Women undergoing operative hysteroscopy for removal of retained placenta after delivery will be randomized into two groups.
4-8 weeks after operative hysteroscopy, participants will undergo diagnostic hysteroscopy with no anesthesia , as a part of routine evaluation after removal of retained placenta in Israel.
during diagnostic hysteroscopy the uterine cavity will be evaluated and the presence of adhesions and severity of adhesions will be recorded.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| study group | Other | study group women in this group will receive intrauterine hyaluronic acid injection after operative hysteroscopy |
|
| control group | No Intervention | women will not receive hyaluronic acid after operative hysteroscopy |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Intrauterine injection of hyaluronic acid | Drug | operative hysteroscopy - as a part of treatment in cases with retained placenta after delivery diagnostic hysteroscopy - as a routine evaluation after removal of placenta |
| Measure | Description | Time Frame |
|---|---|---|
| any adhesions | presence of any adhesions in uterine cavity during diagnostic hysteroscopy | 4-8 weeks after intervention |
| Measure | Description | Time Frame |
|---|---|---|
| adhesion scorring | American Fertility Society score for intrauterine adhesions | 4-8 weeks after intervention |
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Inclusion Criteria:
Exclusion Criteria:
History of intrauterine adhesions
Acute pelvic inflammatory disease
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Barzilai University Medical Center | Ashkelon | Israel |
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| ID | Term |
|---|---|
| D018457 | Placenta, Retained |
| D006175 | Gynatresia |
| ID | Term |
|---|---|
| D010922 | Placenta Diseases |
| D011248 | Pregnancy Complications |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
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| ID | Term |
|---|---|
| D015907 | Hysteroscopy |
| ID | Term |
|---|---|
| D003944 | Diagnostic Techniques, Obstetrical and Gynecological |
| D019937 | Diagnostic Techniques and Procedures |
| D003933 | Diagnosis |
| D004724 | Endoscopy |
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|
| D005831 | Genital Diseases, Female |
| D052776 | Female Urogenital Diseases |
| D000091662 | Genital Diseases |
| D003949 | Diagnostic Techniques, Surgical |
| D019060 | Minimally Invasive Surgical Procedures |
| D013514 | Surgical Procedures, Operative |
| D013513 | Obstetric Surgical Procedures |
| D013509 | Gynecologic Surgical Procedures |
| D013519 | Urogenital Surgical Procedures |