title: Reproductive outcomes following uterine septum resection.
abstract: OBJECTIVE
  To determine the reproductive outcome following hysteroscopic septum resection in women with a septated uterus and a history of spontaneous miscarriages or premature deliveries.
  
  
  METHODS
  A retrospective, cohort study investigating reproductive outcomes following septum resection was conducted. Patients who had no other apparent cause for spontaneous miscarriage or preterm delivery were included in the study. Reproductive outcomes were compared between pregnancies prior to and after the septum resection. Multiple pregnancies were excluded.
  
  
  RESULTS
  Twenty-eight patients met the inclusion criteria with a total of 85 pregnancies, 45 prior and 40 after septectomy. The mean gestational age increased from 33.73 ± 6.27 (weeks) prior to the resection to 38.47 ± 1.71 (weeks) after it (p < 0.05). The mean birth weight increased from 2520 ± 764.4 (g) to 3202.6 ± 630.2 (g) after the resection. Spontaneous miscarriage rate dropped from 63.6% to 12.5%. Multivariate analysis models showed uterine septectomy to be independently associated with increased gestational age at delivery (β = 0.606, Adjusted R(2 )= 0.328, CI 10.647-20.612, p < 0.01), increased birth weight (β = 0.424, Adjusted R(2 )= 0.129, CI 202.097-1210.287, p < 0.01) and with lower risk for preterm delivery (OR = 0.073, CI 0.16-0.327, p < 0.01).
  
  
  CONCLUSIONS
  Hysetroscopic resection of a uterine septum improves reproductive outcomes in women with a septated uterus and a history of spontaneous miscarriages or premature deliveries.
authors.affiliation: a Department of Obstetrics and Gynecology, Faculty of Health Sciences , Soroka University Medical Center, Ben-Gurion University of the Negev , Beer Sheva , Israel.
authors.forename: Amir
authors.initials: A
authors.lastname: Freud
authors.affiliation: a Department of Obstetrics and Gynecology, Faculty of Health Sciences , Soroka University Medical Center, Ben-Gurion University of the Negev , Beer Sheva , Israel.
authors.forename: Avi
authors.initials: A
authors.lastname: Harlev
authors.affiliation: a Department of Obstetrics and Gynecology, Faculty of Health Sciences , Soroka University Medical Center, Ben-Gurion University of the Negev , Beer Sheva , Israel.
authors.forename: Adi Y
authors.initials: AY
authors.lastname: Weintraub
authors.affiliation: a Department of Obstetrics and Gynecology, Faculty of Health Sciences , Soroka University Medical Center, Ben-Gurion University of the Negev , Beer Sheva , Israel.
authors.forename: Eric
authors.initials: E
authors.lastname: Ohana
authors.affiliation: a Department of Obstetrics and Gynecology, Faculty of Health Sciences , Soroka University Medical Center, Ben-Gurion University of the Negev , Beer Sheva , Israel.
authors.forename: Eyal
authors.initials: E
authors.lastname: Sheiner
mesh_terms: D000022:Abortion, Spontaneous / Q000209:etiology / Q000517:prevention & control*; D000328:Adult; D001724:Birth Weight; D005260:Female; D005865:Gestational Age; D006801:Humans; D015907:Hysteroscopy; D007231:Infant, Newborn; D011247:Pregnancy; D047928:Premature Birth / Q000209:etiology / Q000517:prevention & control*; D012189:Retrospective Studies; D016896:Treatment Outcome; D014599:Uterus / Q000002:abnormalities* / Q000601:surgery*
keywords: Hysteroscopy; mullerian anomaly; septated uterus; septectomy