Avtor/Urednik     Tomaževič, T; Ban, H; Premru-Sršen, T; Ribič-Pucelj, M; Verdenik, I; Vogler, A; Vrtačnik-Bokal, E; Drobnič, S; Zorn, B; Pinter, B
Naslov     Small uterine septa (AFS class 6) represent an important risk variable for preterm birth and spontaneous abortion
Tip     članek
Vir     Int Congr Ser
Vol. in št.     Letnik 1271
Leto izdaje     2004
Obseg     str. 270-3
Jezik     eng
Abstrakt     We compared pregnancy outcomes before and after hysteroscopic dissection of small and large uterine septa. The study involved 933 women after hysteroscopic dissection of a uterine septum: 483 women with a large septum (1.5 cm to total) and 450 women with a small septum (11.5 cm). The structure of 957 pregnancies before the operation differed significantly from the structure of 564 pregnancies after the operation (P<0.000). The spontaneous abortion rates decreased from 83% to 19% (P<0.00000) in the women with a large septum, and from 82% to 16% in the women with a small septum (P<0.0000). The preterm birth rates decreased from 43% to 9% in the large septum group (P<0.00001), and from 40% to 11% (P<0.0000) in the small septum group. The birth weight of neonates after surgery increased and the incidence of neonates with birth weight less than 1500 g decreased. The referral of the neonates to the intensive care unit was signiticantly reduced (P<0.000). There was a signiticant reduction of fetal stillbirth and neonatal mortality rates (P<0.01). Besides large uterine septa, small uterine septa represent an important hysteroscopically preventable risk variable for preterm birth and spontaneous abortion.
Deskriptorji     UTERUS
HYSTEROSCOPY
PREGNANCY OUTCOME
PREGNANCY
ABORTION, HABITUAL
LABOR, PREMATURE
INFANT, LOW BIRTH WEIGHT