A Pilot Study of Guided Conservative Hysteroscopic Evacuation of Early Miscarriage.

Study Objective: To evaluate initial feasibility and experience with guided hysteroscopic morcellation for uterine evacuation of early miscarriage.

Design: A prospective pilot study of 10 cases.

Setting: A tertiary university hospital in Israel.

Accidental fetal decapitation: a case of medical and ethical mishap.

Blunt trauma to the head and neck of a newborn during delivery process is a rare event. We report a peculiar case of decapitation of a live fetus during vacuum-assisted delivery, where excessive traction on the head of the full-term macrosomic fetus with shoulder dystocia resulted in overstretching of the neck up to the point of decapitation. The ethical considerations related to the case are discussed in light of the policy of complete transparency advocated by the medical profession.