the evaluation of d&c cases in mirza kouchek khan (women) hospital within the first six months of 1368 (1989)

this study has been conducted on the path reports of diagnostic curettage carried out in mirza koochek-khan hospital during the 6 months of the year 1989 (april to september). the reports examined have been further classified into incompelete abortion, diagnostic currettage and others. a total number of 645 women have had d&c; according to the above criteria. in this period of time, incomplete abortion had the highest rate (34% of all d&c;'s), of which 62.5% were under 20 years of age and 22.6% were primigravida. the ratio of total abortion to the number of deliveries was 9.8% and post-delivery retention of placenta constituted 4.8% of all d&c;'s, with the highest rate amongst the age group of 15-19 years old, who mostly had home deliveries. the incidence of hydatidiform mole was 3.07 per 1000 deliveries, out of this number, the highest rate (50%) belonged to the age group of 20-24 years old. the above incidence is 6.4 times more than the u.s. incidence and 0.9 times less than the incidence reported in other asian countries (6, 8, 10). knowing the complication of unplanned abortion such as perforation of the uterus, infection, hemorrhage, adhesions (synechiae) and secondary sterility, special attention should be paid to the diagnosis of high-risk pregnancies in prenatal clinics.