Histological analysis of the products of conception in first trimester spontaneous abortions

Aims: To evaluate the histopathological findings of products of conception in the first trimester spontaneous abortions. Methods: A hospital based descriptive cross sectional study conducted from March 2018 to March 2019, among the women admitted with diagnosis of first trimester spontaneous abortion at Paropakar Maternity and Women’s Hospital. Results: Among 80 cases of spontaneous abortions, incomplete abortion was the commonest type constituting 42.5% of the studied group. The majority of participants belonged to age group of 21-30 years (61.2%) with a mean age of 26.8±6.1 years. Histopathologic examination confirmed products of conception in 60 (75%) patients, partial molar pregnancy in 9 (11.25%) patients, decidual reaction in 9 (11.25%) patients and hydropic abortus in only 2 (2.5%) patients. The molar pregnancy was more prevalent among women of Tibeto-Nepalese ethnic group 26.5% (n=9). Partial hydatidiform mole was more common in primiparous (19.3%) than in multiparous (14.2%). Conclusions: The histopathological examination of the products of conception proved to be an important tool in detecting undiagnosed pathology like molar pregnancy and hydropic changes that necessitate special follow-up protocol and further management.

Ectopic Decidual Reaction in Bladder

Case report noting a rare differential diagnosis of ectopic decidual reaction in pregnancy in pregnant patients presenting with bladder lesions.

CASE OF POLYCARPOUS TUBAL ECTOPIC PREGNANCY

The case of multiple ectopic tubal pregnancy is presented in the 5–6 weeks term. An expanded right uterine tube containing two embryos was found. The amniotic partition was not visualized. The uterus is located typically, increased to 7–8 weeks of gestation, due to decidual reaction. The right ovary was identified in a typical place, the yellow body in its projection was not visualized. The left ovary was determined behind the uterus, in its projection the reminding yellow body was defined.