Author/Editor		Tomaževič, T; Ban, H; Premru-Sršen, T; Ribič-Pucelj, M; Verdenik, I; Vogler, A; Vrtačnik-Bokal, E; Drobnič, S; Zorn, B; Pinter, B
Title		Do small uterine septa (AFS grade 6) really behave benignly
Type		članek
Source		In: Žegura B, editor. Simpozij z mednarodno udeležbo Diagnostične in terapevtske možnosti histeroskopije; 2005 jan 14; Maribor. Maribor: Splošna bolnišnica Maribor,
Publication year		2005
Volume		str. 26-32
Language		eng
Abstract		We compared pregnancy outcomes before and after hysteroscopic transsection of small and large uterine septa. The study involved 933 women after hysteroscopic transectibn of a uterine septum: 483 women with a large septum (1.5 cm to total) and 450 women with a small septum (1-1.5 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 significantly reduced (P<0.000). There was a significant 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.
Descriptors		UTERUS ABORTION, HABITUAL INFANT, PREMATURE INFANT, LOW BIRTH WEIGHT PREGNANCY OUTCOME PREGNANCY HYSTEROSCOPY