REPRODUCTIVE OUTCOME, DURATION OF PREGNANCY AND MODE OF DELIVERY AFTER HYSTEROSCOPIC METROPLASTY IN PATIENTS WITH INFERTILITY
Introduction: Reproductive outcome can be negatively affected in patients with congenital uterine anomalies (CUA), increasing the number of unsuccessful pregnancies and obstetric complications. Standard, safe and minimally invasive method for the treatment of correctible types of congenital uterine...
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| Format: | Article |
| Language: | English |
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Association of medical doctors Sanamed Novi Pazar
2016-07-01
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| Series: | Sanamed |
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| Online Access: | http://www.sanamed.rs/OJS/index.php/Sanamed/article/view/134/55 |
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| author | Tofoski Gligor Dimitrov Goran Hadzi-Lega Marija Dzikova Elena |
| author_facet | Tofoski Gligor Dimitrov Goran Hadzi-Lega Marija Dzikova Elena |
| author_sort | Tofoski Gligor |
| collection | DOAJ |
| description | Introduction: Reproductive outcome can be negatively affected in patients with congenital uterine anomalies (CUA), increasing the number of unsuccessful pregnancies and obstetric complications. Standard, safe and minimally invasive method for the treatment of correctible types of congenital uterine anomalies is hysteroscopic metroplasty (HM).
The aim of the study was to analyze the reproductive outcome, duration of pregnancy and mode of delivery in group of patients with infertility after hysteroscopic metroplasty.
Material and methods: We analyzed 48 patients with previous history of fetal loss (abortion) to whom hysteroscopy was done in the period of 01.11.2009 to 01.05.2013 year at the University Clinic of Obstetrics and Gynecology in Skopje. In patients who were diagnosed having CUA hysteroscopic metroplasty was done. Patients and their reproductive outcome were followed for a period of at least 2 years after the intervention. Reproductive outcome was followed considering pregnancy rate, fetal loss (abortion) up to 22 gestational week, rates of preterm and term deliveries, live births and mode of delivery. Statistical analysis was performed using computer software and value for the confidence interval (± 95% CI) was considered to be statistically significant with level of p<0.05.
Results: After hysteroscopic metroplasty, there was a significant decrease of the abortion rate to 13.9%, and significant increase in pregnancy rates of 86.1%. Overall pregnancy rate was 75%, and term delivery was noted in 93,6 % of the patients, with spontaneus deliveries in 58,6 %. There were no complications during the hysteroscopic metroplasty, nor during the deliveries.
Conclusion: Hysteroscopic metroplasty has a significant effect on the reproductive outcome, resulting in a large number of live births and no significant complication during consecutive pregnancy and delivery. |
| first_indexed | 2024-03-07T18:08:23Z |
| format | Article |
| id | doaj.art-32946511cf8a4810b5c4eeccaee8c057 |
| institution | Directory Open Access Journal |
| issn | 1452-662X 2217-8171 |
| language | English |
| last_indexed | 2024-03-07T18:08:23Z |
| publishDate | 2016-07-01 |
| publisher | Association of medical doctors Sanamed Novi Pazar |
| record_format | Article |
| series | Sanamed |
| spelling | doaj.art-32946511cf8a4810b5c4eeccaee8c0572024-03-02T07:52:27ZengAssociation of medical doctors Sanamed Novi PazarSanamed1452-662X2217-81712016-07-0111211712210.5937/sanamed1602117TREPRODUCTIVE OUTCOME, DURATION OF PREGNANCY AND MODE OF DELIVERY AFTER HYSTEROSCOPIC METROPLASTY IN PATIENTS WITH INFERTILITYTofoski Gligor0Dimitrov Goran1Hadzi-Lega Marija2Dzikova Elena3PHI University Clinic of Gynecology and Obstetrics, Medical Faculty, University ”St. Cyril and Methodius” - Skopje, Republic of MacedoniaPHI University Clinic of Gynecology and Obstetrics, Medical Faculty, University ”St. Cyril and Methodius” - Skopje, Republic of MacedoniaPHI University Clinic of Gynecology and Obstetrics, Medical Faculty, University ”St. Cyril and Methodius” - Skopje, Republic of MacedoniaPHI University Clinic of Gynecology and Obstetrics, Medical Faculty, University ”St. Cyril and Methodius” - Skopje, Republic of MacedoniaIntroduction: Reproductive outcome can be negatively affected in patients with congenital uterine anomalies (CUA), increasing the number of unsuccessful pregnancies and obstetric complications. Standard, safe and minimally invasive method for the treatment of correctible types of congenital uterine anomalies is hysteroscopic metroplasty (HM). The aim of the study was to analyze the reproductive outcome, duration of pregnancy and mode of delivery in group of patients with infertility after hysteroscopic metroplasty. Material and methods: We analyzed 48 patients with previous history of fetal loss (abortion) to whom hysteroscopy was done in the period of 01.11.2009 to 01.05.2013 year at the University Clinic of Obstetrics and Gynecology in Skopje. In patients who were diagnosed having CUA hysteroscopic metroplasty was done. Patients and their reproductive outcome were followed for a period of at least 2 years after the intervention. Reproductive outcome was followed considering pregnancy rate, fetal loss (abortion) up to 22 gestational week, rates of preterm and term deliveries, live births and mode of delivery. Statistical analysis was performed using computer software and value for the confidence interval (± 95% CI) was considered to be statistically significant with level of p<0.05. Results: After hysteroscopic metroplasty, there was a significant decrease of the abortion rate to 13.9%, and significant increase in pregnancy rates of 86.1%. Overall pregnancy rate was 75%, and term delivery was noted in 93,6 % of the patients, with spontaneus deliveries in 58,6 %. There were no complications during the hysteroscopic metroplasty, nor during the deliveries. Conclusion: Hysteroscopic metroplasty has a significant effect on the reproductive outcome, resulting in a large number of live births and no significant complication during consecutive pregnancy and delivery.http://www.sanamed.rs/OJS/index.php/Sanamed/article/view/134/55hysteroscopymetroplastyreproductioninfertilitypregnancydelivery |
| spellingShingle | Tofoski Gligor Dimitrov Goran Hadzi-Lega Marija Dzikova Elena REPRODUCTIVE OUTCOME, DURATION OF PREGNANCY AND MODE OF DELIVERY AFTER HYSTEROSCOPIC METROPLASTY IN PATIENTS WITH INFERTILITY Sanamed hysteroscopy metroplasty reproduction infertility pregnancy delivery |
| title | REPRODUCTIVE OUTCOME, DURATION OF PREGNANCY AND MODE OF DELIVERY AFTER HYSTEROSCOPIC METROPLASTY IN PATIENTS WITH INFERTILITY |
| title_full | REPRODUCTIVE OUTCOME, DURATION OF PREGNANCY AND MODE OF DELIVERY AFTER HYSTEROSCOPIC METROPLASTY IN PATIENTS WITH INFERTILITY |
| title_fullStr | REPRODUCTIVE OUTCOME, DURATION OF PREGNANCY AND MODE OF DELIVERY AFTER HYSTEROSCOPIC METROPLASTY IN PATIENTS WITH INFERTILITY |
| title_full_unstemmed | REPRODUCTIVE OUTCOME, DURATION OF PREGNANCY AND MODE OF DELIVERY AFTER HYSTEROSCOPIC METROPLASTY IN PATIENTS WITH INFERTILITY |
| title_short | REPRODUCTIVE OUTCOME, DURATION OF PREGNANCY AND MODE OF DELIVERY AFTER HYSTEROSCOPIC METROPLASTY IN PATIENTS WITH INFERTILITY |
| title_sort | reproductive outcome duration of pregnancy and mode of delivery after hysteroscopic metroplasty in patients with infertility |
| topic | hysteroscopy metroplasty reproduction infertility pregnancy delivery |
| url | http://www.sanamed.rs/OJS/index.php/Sanamed/article/view/134/55 |
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