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Clinical Overview Of Endometrial Curettage Preparations In Abortion At The Department Of Anatomical Pathology, Faculty Of Medicine, Universitas Sumatera Utara And Anatomical Pathology Unit, Haji Adam Malik Hospital Medan 2021-2022

Authors:Masriana
Open Access

Journal Type:Research Article

Subject:Medicine, Health & Food

Subject Field:Pathology and Laboratory Medicine

Volume:162, Issue: 1, December, 2024

Publish Date:December 6, 2024 7:00 pm

Pages:37-54

Download:317

Views:242

Abstract

Backgrounds Abortion is a condition where the pregnancy ends before the fetus is able to live outside the womb and before the fetus weighs 500 grams and the gestational age is less than 20 weeks or 5 months and the fetus cannot live outside the womb. Many factors can cause abortion, including age, parity, gestational age, birth history, education level, employment, marital status, economic status, various medical illnesses, nutritional status, pregnancy spacing, embryo abnormalities such as chromosomal abnormalities, damage to the development of placenta or embryo, infection, cervical incompetence, chemotherapy in cancer, diabetes mellitus, and hypertension and others. Methods This study was a descriptive study with a cross sectional approach on 42 samples from endometrial curettage preparations with Hematoxylin & Eosin (H&E) staining. Results In this study, the age of most sufferers was 31-40 years, namely 18 samples (42.9%), the most parity was < 1, 21 samples (50.0%), the most pregnancy interval was > 2 years, 23 samples (54.8 %), the highest gestational age 11-15 weeks as many as 22 samples (52.4%), sufferers who had no history of abortion 29 samples (69.0%), no history of diabetes mellitus 42 samples (100.0%), no history of hypertension 42 samples ( 100.0%), history of no infection 31 samples (74.4%), history of unknown smoking, drugs and alcohol 42 samples (100.0%), history of unknown autoimmune disease 42 samples (100.0% ), 33 samples (78.6 %) did not undergo beta-hCG examination, 23 samples (54.8%) had incomplete abortions, 19 samples (45.2%) had histopathological diagnosis results. Conclusion Based on histopathology, the highest percentages were products of conception (45.2%), molhydatidiform (31.0%), and decidual casts and/or stella arias (23.8%).

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