INTRODUCTION

Approximately 20 percent of pregnant women will have some bleeding before 20 weeks gestation, and roughly one half of these pregnancies will end in spontaneous abortion. Up to 20 percent of recognized pregnancies will end in miscarriage. However, when women were followed with serial serum human chorionic gonadotropin (hCG) measurements, the actual miscarriage rate was found to be 31 percent. Many pregnancies are lost spontaneously before a woman recognizes that she is pregnant, and the clinical signs of miscarriage are mistaken for a heavy or late menses.
In the past, uterine evacuation often was performed with sharp curettage alone. However, studies show that the use of suction curettage is superior to the use of sharp curettage alone. Prompt surgical evacuation of the uterus has been recommended in the past because of the risk for infection and concerns about coagulation disorders that result from retained products of conception.

AIM OF THE WORK
The aim of this study was to compare between vacuum suction curettage using flexible nelaton catheter and metallic surgical evacuation and curettage under ultrasound guidance in management of first trimester incomplete abortion.