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

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• 作者：Nataša Kenda Šuster ; Marco Gergolet
• 关键词：Hysteroscopic metroplasty ; Septate uterus ; Adverse obstetric outcome ; Metroplasty complications
• 刊名：Gynecological Surgery
• 出版年：2016
• 出版时间：February 2016
• 年：2016
• 卷：13
• 期：1
• 页码：37-41
• 全文大小：249 KB
• 刊物主题：Gynecology; Minimally Invasive Surgery; Surgical Oncology; Obstetrics/Perinatology; Reproductive Medicine; Interventional Radiology;
• 出版者：Springer Berlin Heidelberg
• ISSN：1613-2084

文摘

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.