Reproductive outcome after metroplasty.
OBJECTIVE
To evaluate the impact of abdominal metroplasty for symmetric uterine anomalies on reproductive performance.


METHODS
A retrospective analysis of 24 patients who conceived following metroplasty for symmetric congenital anomalies during a 5-year period.


RESULTS
In patients with poor obstetric histories before surgery, the overall fetal survival rate increased from 2.5%, before treatment to 73.3% after treatment and 90.5% of women gave birth to a surviving infant. The remaining three patients suffering from infertility delivered a full-term infant after metroplasty. Antenatal complications occurred in 56.7% of the pregnancies.


CONCLUSIONS
Abdominal metroplasty clearly improves fetal survival particularly in women suffering from a history of poor obstetric outcome associated with symmetric malformations.
Clinics of Perinatology, Dr Zekai Tahir Burak Women's Hospital, Ankara, Turkey.
C G
CG
Zorlu
H
H
Yalçin
M
M
Ugur
S
S
Ozden
S
S
Kara-Soysal
O
O
Gökmen
D000022:Abortion, Spontaneous / Q000209:etiology; D000328:Adult; D005260:Female; D006801:Humans; D007247:Infertility, Female / Q000209:etiology; D007752:Obstetric Labor, Premature / Q000209:etiology; D011247:Pregnancy; D011248:Pregnancy Complications / Q000209:etiology / Q000601:surgery*; D011256:Pregnancy Outcome; D012189:Retrospective Studies; D014599:Uterus / Q000002:abnormalities* / Q000601:surgery*