Septate uterus is one of the cogeni\u00adtal abnormalities that causes the most problems. It is frequently the cause of spontaneous abor\u00adtion, preterm labour, malpresentation or intrauter\u00adine growth retardation. Recently, hysteroscop\u00adic resection has been used to correction of this uterine malformation. The aim of the study was to determine how hysteroscopic metroplasty affects the capacity to conceive in women with a history of spontaneous abortions, and in pre\u00adviously infertile women. We studied the course of pregnancy and labour, and the neonatal out\u00adcome in women who conceived after hysteroscopic metroplasty and in a control group with\u00adout congenital anomalies of Muellerian system. Our retrospective study included 85 women treated by hysteroscopic metroplasty at the Department of Obstetrics and Gynecology, Ljubljana between 15th February 1993 and 30th June 1995. 94% of women with previous spon\u00adtaneous abortions and 55% of women with of his\u00adtory of infertility became pregnant 12 to 24 months after hysteroscopic metroplasty, the overall number of pregnancy in both groups being 47 pregnancies. In 21 women (45%) preg\u00adnancy ended in term delivery, in 2 (4%) in preterm delivery, and in 6 (13%) in spontaneous abortion. 3 (6%) women had extrauterine preg\u00adnancy. At the time of the study 15 (32%) preg\u00adnancies were still ongoing. No differences were found between the study group of 23 women who delivered after hysteroscopic metroplasty and the control group of 46 women without uterine anoalies as conserns the rate of complications during pregnancy and the caesarean sections, neona\u00adtal outcome, birth weight, Apgar scores and other perinatal parameters. In the study group, there were only cephalic presentations. The results prove that hysteroscopic metroplasty does not affect the capasity to consive in women with a history of spontaneous abortions, and that it has a beneficial effect on reproductive outcome in infer\u00adtile women. Hysteroscopic metroplasty enables women to have normal pregnancy and labour, and improves the outcome of pregnancy.<\/p>\n","protected":false},"excerpt":{"rendered":"
Septate uterus is one of the cogeni\u00adtal abnormalities that causes the most problems. It is frequently the cause of spontaneous abor\u00adtion, preterm labour, malpresentation or intrauter\u00adine growth retardation. Recently, hysteroscop\u00adic resection has been used to correction of this uterine malformation. The aim of the study was to determine how hysteroscopic metroplasty affects the capacity to […]<\/p>\n","protected":false},"author":18,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":"","_links_to":"","_links_to_target":""},"categories":[327,407,421],"tags":[],"class_list":["post-3737","post","type-post","status-publish","format-standard","hentry","category-3-1997-archive","category-clinical-research-paper","category-gynecology-and-obstetrics"],"acf":[],"yoast_head":"\n