Adverse Obstetric Outcomes at Term after Hysteroscopic Metroplasty

Agostini, Aubert; Guibert, F.; Salari, Kataneh; Crochet, Patrice; Bretelle, Florence; Gamerre, M.

doi:10.1016/j.jmig.2009.03.021

Cited by 28 publications

(26 citation statements)

References 10 publications

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“…Complications related to the procedure can manifest during successive pregnancy, labor, and delivery. According to Agostini, patients who underwent hysteroscopic metroplasty are at increased risk for fetal malpresentation at term, low birth weight infants, and delivery by cesarean section [ 9 ]. The dilatation of the cervix may disrupt fibers in the cervix which can lead to the cervical-isthmical insufficiency [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

Does hysteroscopic metroplasty for septate uterus represent a risk factor for adverse outcome during pregnancy and labor?

Šuster

Gergolet²

2015

Gynecol Surg

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The aim of the study was to evaluate whether hysteroscopic metroplasty for septate uterus represents a risk factor of adverse outcome in pregnancy, during labor, and after delivery. This is a retrospective comparative study of obstetric complications of 99 patients who underwent hysteroscopic metroplasty in a 5-year period (study group) and 4155 women, who gave birth in the same hospital in the same period (control group). No difference in obstetric outcome (preterm labor, hemorrhage before and after delivery, mean weeks of gestation at delivery, mean birth weight, breech presentation, and cesarean section rate) between the two groups has been found. The results of this study suggest that patients who underwent hysteroscopic metroplasty for septate uterus are at no higher risk of adverse obstetric outcome at term and during labor, comparing to the general population. Though vaginal delivery seems to be safe, rare but serious complication, reported by several studies, like uterine rupture during pregnancy or labor, should always be taken into consideration.

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Section: Introductionmentioning

confidence: 99%

Does hysteroscopic metroplasty for septate uterus represent a risk factor for adverse outcome during pregnancy and labor?

Šuster

Gergolet²

2015

Gynecol Surg

View full text Add to dashboard Cite

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“…Regarding obstetric outcomes, the cesarean section rate is high in the hysteroscopic metroplasty group. The explanation can be found in a report on the influence of the residual septum on breech presentation . Furthermore, in the authors’ hospital, cesarean sections increased because of the significantly high breech presentation rate.…”

Section: Discussionmentioning

confidence: 85%

Retrospective cohort study of the risk factors for secondary infertility following hysteroscopic metroplasty of the uterine septum in women with recurrent pregnancy loss

Ono

Yonezawa

Watanabe

et al. 2017

Reprod Medicine & Biology

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PurposeA hysteroscopic metroplasty was performed for women with recurrent pregnancy loss owing to a uterine septum, following which some women became infertile. The aim of this study was to elucidate the risk factors of secondary infertility 1 year after hysteroscopic metroplasty for a uterine septum.MethodsA retrospective, single‐center, cohort study included women with a history of at least two miscarriages that had been attributed to a uterine septum who underwent a hysteroscopic metroplasty. The patients’ background data were compared between the patients who conceived and those who remained infertile at 1 year postoperatively. The data were analyzed by using the Mann–Whitney U‐test and multivariate analyses.ResultsThe postoperative live birth rate was 83.9% (n = 26), with persistent infertility in five women at 1 year. When comparing the pregnancy group with the infertile group, the women in the postoperative infertility group were significantly older than those in the postoperative pregnancy group. The multivariate analysis showed that age was an independent risk factor for persistent infertility.ConclusionAge was identified as an independent risk factor for postoperative secondary infertility. Therefore, surgery as early as possible is recommended.

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“…Agostini et al . described that this can be attributed to the incomplete removal of the septum after metroplasty . However, no difference in mean birthweight was observed on comparing the study group that underwent surgery with the incision method and the control group.…”

Section: Discussionmentioning

confidence: 99%

Is hysteroscopic metroplasty using the incision method for septate uterus a risk factor for adverse obstetric outcomes?

Ono

Kuwabara

Matsuda

et al. 2019

J of Obstet and Gynaecol

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Aim: This study aimed to assess whether hysteroscopic metroplasty using the incision method for septate uterus is a risk factor for adverse obstetric outcomes during pregnancy or delivery. Methods: This retrospective, single-center cohort study of obstetric complications included 41 patients with recurrent pregnancy loss or unexplained infertility who underwent hysteroscopic metroplasty using the incision method for septate uterus. As controls, we recruited 1139 women who delivered at our hospital during the same period. The primary outcomes were mean weeks of delivery, mean birthweight, rate of cesarean section, rate of breech presentation, rate of post-partum hemorrhage, rate of preterm delivery, rate of placental abruption, rate of placenta previa, rate of placenta accreta and uterine rupture during pregnancy and delivery. Results: The two groups did not differ in terms of age, mean weeks of delivery, mean birthweight, rate of post-partum hemorrhage, rate of preterm delivery, rate of placental abruption, rate of placenta previa or rate of placenta accreta. The rates of cesarean section and breech presentation were significantly higher in the study group than in the control group (56.1 vs 27.7%; P = 0.0002 and 19.5 vs 6.8%; P = 0.007, respectively). There were no cases of uterine rupture during pregnancy or delivery following hysteroscopic metroplasty. Conclusion: Hysteroscopic metroplasty using the incision method for septate uterus is not a risk factor for adverse obstetric outcomes. No severe complications, such as placenta abruption, placenta previa, placenta accreta, uterine rupture or heavy hemorrhage, were observed in the postoperative live birth group.

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Adverse Obstetric Outcomes at Term after Hysteroscopic Metroplasty

Cited by 28 publications

References 10 publications

Does hysteroscopic metroplasty for septate uterus represent a risk factor for adverse outcome during pregnancy and labor?

Does hysteroscopic metroplasty for septate uterus represent a risk factor for adverse outcome during pregnancy and labor?

Retrospective cohort study of the risk factors for secondary infertility following hysteroscopic metroplasty of the uterine septum in women with recurrent pregnancy loss

Is hysteroscopic metroplasty using the incision method for septate uterus a risk factor for adverse obstetric outcomes?

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