2025 Volume 61 Issue 1 Pages 50-56
Objective: In this study, we reviewed the management of retained products of conception（RPOC）among women in rural Japan.
Methods: We retrospectively analyzed data obtained from women diagnosed with RPOC at our hospital between April 2019 and March 2022.
Results: The study included 10 women（median age 31.0 years）. Four women underwent in vitro fertilization and four were primiparas. Eight women delivered at term, one woman delivered a second-trimester stillbirth, and one woman underwent a first-trimester abortion. The mode of delivery was vaginal in six women and included second-trimester stillbirths, cesarean delivery in three, and manual vacuum aspiration in one woman. After diagnosis, five women underwent only observation, two underwent only uterine artery embolization（UAE）, two underwent UAE combined with transcervical resection, and one woman underwent total hysterectomy. Among the four women who lived outside the city where the hospital was located, three underwent an invasive procedure.
Conclusion: Considering the distance between the hospital and their residence, some women who required only observation opted for prophylactic invasive treatment. Women with RPOC should receive treatment considering the rural medical setting and resource availability.
