Status:

COMPLETED

The HYsteroscopic Miscarriage MaNagement Trial: A Pilot RCT Investigating a Novel Management Pathway for RPOC

Lead Sponsor:

Birmingham Women's and Children's NHS Foundation Trust

Collaborating Sponsors:

Tommy's

Conditions:

Retained Products After Miscarriage

Eligibility:

FEMALE

18-50 years

Phase:

NA

Brief Summary

Pregnancy tissue can be found remaining in the womb in up to 20% of women following a miscarriage. These "retained products of conception" (RPOC), which are diagnosed by transvaginal ultrasound, can c...

Detailed Description

The diagnosis of retained products of conception (RPOC) following miscarriage causes physiological and emotional stress to women and their partners. Additional hospital visits, inpatient admissions an...

Eligibility Criteria

Inclusion

  • Women above 18 years
  • Women choosing either expectant or medical management of a first-trimester miscarriage ≤14 weeks gestation
  • Women wanting to conceive as soon as possible after their miscarriage
  • Consent to trial processes: (1) undergo follow-up with transvaginal ultrasound for the investigation of RPOC; (2) be randomised to outpatient hysteroscopy for confirmation and treatment or standard management; (3) accept trial follow up procedures - questionnaires, telephone interviews

Exclusion

  • Women below 18 years
  • Women with findings suspicious of gestational trophoblastic disease
  • Women with fever (≥38°C) or sepsis secondary to genital tract infection/endometritis
  • Women who are unable to understand spoken and written English

Key Trial Info

Start Date :

January 31 2021

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

November 2 2022

Estimated Enrollment :

149 Patients enrolled

Trial Details

Trial ID

NCT04751500

Start Date

January 31 2021

End Date

November 2 2022

Last Update

August 14 2023

Active Locations (1)

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1

Birmingham Women's Hospital

Birmingham, United Kingdom, B15 2TG