Chairs: Asha Bhalwal

Faculty: Ha Nguyen, Randa J. Jalloul

Description: This course offers a comprehensive review of the literature on hysteroscopic treatment for missed abortion and delves into the debate surrounding its clinical adoption. Hysteroscopy presents a promising alternative to traditional methods like dilation and curettage (D&C), allowing for precise, minimally invasive removal of retained products of conception with direct visualization of the uterine cavity. However, despite its potential to revolutionize care in early pregnancy loss, there is still considerable debate on its widespread acceptance. The technique requires a high level of expertise, making it more challenging to implement as a non-scheduled procedure or in settings with less experienced providers. This course will explore the controversies surrounding hysteroscopy's role in managing missed abortions, presenting high-quality evidence and video demonstrations. We will also discuss patient selection, proper workup, and postoperative management, while evaluating the potential future of this technique in routine clinical practice.

Learning Objectives: At the end of this course, the participant will be able to:

1. Objective Evaluate the benefits vs. challenges of hysteroscopy for missed abortion
2. Objective Examine the expertise and training requirements for hysteroscopy
3. Objective Assess the future role of hysteroscopy in early pregnancy loss management

Course Outline

11:00 AM Welcome, Introduction and Course Overview

A. Bhalwal

11:05 AM D&C: Sticking With What Works - Why It's Still the Gold Standard

H. Nguyen

11:25 AM Embracing Hysteroscopy: A Modern Revolution in Missed Abortion Care

R. Jalloul

11:45 AM Discussion Questions & Answers

11:00 AM Adjourn