Hysteroscopic metroplasty improves gestational outcome in women with recurrent spontaneous abortion.
OBJECTIVE
To compare the reproductive outcome in women with recurrent spontaneous abortion (RSA) associated with septate uterus after hysteroscopic metroplasty compared with patients who did not undergo surgery.


METHODS
Longitudinal evaluation (Canadian Task Force classification II-2).


METHODS
University of Rome, Tor Vergata-affiliated endoscopic unit.


METHODS
Forty-eight consecutive women with septate uterus and RSA were enrolled in the study.


METHODS
Hysteroscopic metroplasty.


RESULTS
Reproductive outcome in terms of term pregnancy was significantly improved after hysteroscopic metroplasty compared with controls (76% vs. 20%). No differences were found in the prevalence of preterm delivery between groups (4% vs. 5%).


CONCLUSIONS
Our data suggest that hysteroscopic septum incision can improve pregnancy outcome in patients with RSA associated with septate uterus.
Valli
Edoardo
E
Department of Obstetrics and Gynecology, Tor Vergata University, Rome, Italy.
Vaquero
Elena
E
Lazzarin
Natalia
N
Caserta
Donatella
D
Marconi
Daniela
D
Zupi
Errico
E
D000026:Abortion, Habitual / Q000175:diagnosis / Q000517:prevention & control / Q000601:surgery*; D000022:Abortion, Spontaneous / Q000175:diagnosis / Q000517:prevention & control / Q000601:surgery*; D000328:Adult; D016022:Case-Control Studies; D016001:Confidence Intervals; D005260:Female; D005500:Follow-Up Studies; D005865:Gestational Age; D006801:Humans; D015907:Hysteroscopy / Q000379:methods*; D008137:Longitudinal Studies; D008423:Maternal Age; D011247:Pregnancy; D011256:Pregnancy Outcome; D018566:Pregnancy, High-Risk; D012016:Reference Values; D017584:Reproductive History; D016896:Treatment Outcome; D014599:Uterus / Q000002:abnormalities / Q000601:surgery*