Predictors of Postpartal Retained Products of Conception

• Published in: In vivo (Athens) Vol. 33; no. 2; pp. 469 - 472
• Main Authors: Thangarajah, Fabinshy, Brunner, Magdalena, Pahmeyer, Caroline, Radosa, Julia Caroline, Eichler, Christian, Ludwig, Sebastian, Morgenstern, Bernd, Mallmann, Peter
• Format: Journal Article
• Language: English
• Published: Greece International Institute of Anticancer Research 01.03.2019
• Subjects: RPOC; curretage; Delivery
• ISSN: 0258-851X; 1791-7549
• DOI: 10.21873/invivo.11496

Retention of products of conception (RPOC) following delivery is rare. Clinicians often have the impression that a high proportion of patients with sonographically suspected RPOC following surgery have a negative histopathology. Hence, we aimed to report our single-center experience with suspected RPOC and histopathological outcome after surgery. In this retrospective analysis, patients who underwent surgery due to suspected postpartum RPOC were analyzed for potential predictive clinical and sonographic parameters. A total of 32 patients with histopathologically-confirmed RPOC were compared with 21 patients with a negative histopathological report for RPOC. Endometrial hyperechogenic mass and clinical parameters such as pain, fever and bleedings were not predictive for RPOC. Increased age (p=0.001) and vaginal delivery (p=0.040) were significantly associated with RPOC. Clinical presentation alone is not predictive for RPOC. Vaginal delivery and younger age seem to be a risk factor and therefore have to be considered in patients with suspected RPOC.