Condition: Miscarriage · Sponsor: University Hospital, Montpellier
Introduction: Incomplete early miscarriage is defined as early miscarriage with persistent intrauterine material on ultrasound. Intrauterine retention of trophoblastic debris is not an uncommon phenomenon. These retentions may initially be asymptomatic but are often responsible for persistent metrorrhagia and endometritis. This symptomatology often accentuates the psychological distress of patients mourning the pregnancy. Incomplete miscarriages are mainly managed by the gynecological emergency department. The recommendations of the Collège National des Gynécologues et Obstétriciens Français (CNGOF) suggest as a first line of treatment: either surgical management or expectant care. The choice between the two is left to the discretion of the doctor and the patient. there are no clear recommendations as to the choice between hysteroscopy and aspiration. Within the teams, the choice is often made according to the habits and protocols of the service, according to the equipment available and the skills of the gynaecologists. Aim: The main objective is to compare the efficacy of management by endo-uterine aspiration vs. management by hysteroscopy of trophoblastic retention after early miscarriage, at 6 weeks after surgery, by endovaginal ultrasound. Methods: This is a prospective, multicenter, randomized, open-label, two-arms, parallel therapeutic clinical trial comparing hysteroscopy versus endouterine aspiration for the management of trophoblastic retention after spontaneous mi…
This description comes directly from the study's public registry record.
Martha DURAES, MD · +334 67 33 65 32 · m-duraes@chu-montpellier.fr
Elodie GUIBERT, CRA · +334 67 33 53 17 · elodie.guibert@chu-montpellier.fr
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| CHU de Bordeaux - Hôpital Pellegrin | Bordeaux, France | Recruiting |
| CHU de Montpellier - Hôpital Arnaud de Villeneuve | Montpellier, France | Recruiting |
| CHU de Nice - Hôpital Archet II | Nice, France | Recruiting |
| CHU de Nîmes - Hôpital Carémeau | Nîmes, France | Recruiting |
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Source record: clinicaltrials.gov/study/NCT05789940