Pregnancy following endometrial ablation: a review article.
This review summarises the 70 pregnancies reported following endometrial ablation by various techniques, including a those in a case report from the authors' own experience. Thirty-one viable pregnancies resulted, with a high proportion of complications. These included a perinatal mortality rate of 12.9% (4 cases), and an overall prematurity rate of 42%, which reduced to 31% after excluding iatrogenic deliveries performed for other complications. Eight (26%) cases had a morbidly adherent placenta and a further two cases required a manual removal of placenta. Seven (39%) of the term births were reported as having malpresentations and 71% of the total births were by caesarean section. The complications are discussed and a comparison is made with Asherman's Syndrome. In addition, the various factors that may be relevant to fertility after endometrial ablation are discussed.
Hare
A A
AA
Warwick Hospital, Warwick, UK.
Olah
K S
KS
D000328:Adult; D017115:Catheter Ablation; D004717:Endometrium / Q000601:surgery*; D005260:Female; D005298:Fertility; D006801:Humans; D008595:Menorrhagia / Q000601:surgery*; D011247:Pregnancy; D011256:Pregnancy Outcome