[Relationship between the management of the placental phase and the frequency of indication for uterine intervention in the puerperium].

Authors examined the frequency of operative intervention in the uterine cavity, becoming inevitably necessary in late puerperium, in 28,835 mothers divided in 3 groups. In group A the controlling of the placental phase was realised in conservative, exspective way; manual or instrumental intervention in the uterine cavity was applied in the case of suspicion of placental remains. In group B the control of placental phase was performed by active procedure. In this group, as well in group A the uterine cavity was controlled only in the case of suspicion of placental remains. In group C the placental phase was effectuated by active procedure. Immediately in postplacentar period the uterine cavity was controlled with curettage. The numerical data of inevitably necessary operative intervention touching the uterus in late puerperium, were in group A the most favourable.