{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T11:10:54Z","timestamp":1777633854795,"version":"3.51.4"},"reference-count":41,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,3,6]],"date-time":"2026-03-06T00:00:00Z","timestamp":1772755200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,3,6]],"date-time":"2026-03-06T00:00:00Z","timestamp":1772755200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Obstet Gynecol Scand"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Women may need a surgical uterine evacuation for miscarriage, surgical termination, or retained products of conception. Previous research has indicated possible complications of uterine dilatation and curettage and potential benefits of an ultrasound\u2010guided procedure. This study aimed to compare the rate of complications for uterine evacuation when performed blind or with ultrasound guidance, including whether the presence of patient risk factors determined the use of ultrasound guidance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material and Methods<\/jats:title>\n                    <jats:p>This retrospective cohort study included 733 cases in an Australian hospital between January 2019 and December 2023. Medical records, imaging, and surgical reports were searched for patient demographics, risk factors, and the presence of surgical complications. Primary outcomes were complications of uterine perforation, false passage, incomplete curettage, heavy blood loss, or laparoscopy. Secondary outcomes were patient demographics and potential presurgical complication factors. The study created two cohorts: patients receiving evacuation performed blind or with ultrasound guidance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The uterine evacuation was performed blind for 421\/733 (57%) women and ultrasound\u2010guided for 312\/733 (43%) women. The ultrasound\u2010guided group included higher gestational ages 8 [7\u201311] weeks vs blind 8 [7\u20139] weeks, more patients with risk factors (OR 1.7, CI: 1.3 to 2.3), more patients for surgical termination (OR 15.3, CI: 5.4 to 43.3), or postpartum RPOC removal (OR 2.3, CI: 1.3 to 3.9). The ultrasound group had lower overall blood loss (20\u2009mLs vs 30\u2009mL) and clinically significantly lower volumes of continuing retained products of conception, 0.66\u2009cm\n                      <jats:sup>3<\/jats:sup>\n                      [0.53\u20131.23] vs 8.35\u2009cm\n                      <jats:sup>3<\/jats:sup>\n                      [1.49\u201318.94]. There was no difference in complications between groups after adjusting for gestational age (OR 1.0, CI: 0.5 to 2.0).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>There were low complication rates for blind and ultrasound\u2010guided uterine evacuations. However, ultrasound guidance was utilized for higher\u2010risk cases and significantly reduced the volume of retained tissue in complicated cases. The use of ultrasound guidance by doctors and sonographers for uterine evacuation is a compelling choice where available.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/aogs.70179","type":"journal-article","created":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T13:56:04Z","timestamp":1772978164000},"page":"827-835","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Outcomes from blind versus ultrasound\u2010guided uterine evacuation: A retrospective cohort analysis"],"prefix":"10.1111","volume":"105","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-0985-9848","authenticated-orcid":false,"given":"Sarah","family":"Dowthwaite","sequence":"first","affiliation":[{"name":"Faculty of Medicine and Health The University of Sydney  Sydney New South Wales Australia"},{"name":"Ultrasound Care Sydney Adventist Hospital  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6585-7468","authenticated-orcid":false,"given":"Ann","family":"Quinton","sequence":"additional","affiliation":[{"name":"School of Health, Medical and Applied Sciences, Medical Sonography, School of Health, Medical and Applied Sciences Central Queensland University  Brisbane Queensland Australia"},{"name":"Perinatal Ultrasound Nepean Hospital  Penrith New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9453-1790","authenticated-orcid":false,"given":"Samantha","family":"Thomas","sequence":"additional","affiliation":[{"name":"Ultrasound Care Sydney Adventist Hospital  Sydney New South Wales Australia"},{"name":"Discipline of Women's Health University of new South Wales Medicine and Health  Randwick New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7746-9649","authenticated-orcid":false,"given":"Timothy E.","family":"Schlub","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Health, Sydney School of Public Health The University of Sydney  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3241-1229","authenticated-orcid":false,"given":"Jillian","family":"Clarke","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Health The University of Sydney  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,3,6]]},"reference":[{"key":"e_1_2_13_2_1","unstructured":"Australian Medicare Online Australia.2025http:\/\/medicarestatistics.humanservices.gov.au\/statistics\/mbs_item.jsp."},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1479-828X.2005.00428.x"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.3109\/01443615.2012.731451"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.7863\/ultra.15.14.10050"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12905-021-01488-x"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.38828.593125.55"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000158857.44046.a4"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.7863\/jum.2004.23.6.749"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12905-022-01774-2"},{"key":"e_1_2_13_11_1","unstructured":"WHIRA: Women's health and research institute of Australia.What Is Ashermans Syndrome? 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