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Obstet Gynecol. 2001 Dec;98(6):1099-103.

Reproductive outcomes in women with congenital uterine anomalies detected by three-dimensional ultrasound screening.

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  • 1Early Pregnancy & Gynaecology Assessment Unit,King's College Hospital, London, United Kingdom.

Abstract

OBJECTIVE:

To determine reproductive outcomes in women with congenital uterine anomalies detected incidentally by three-dimensional ultrasound.

METHODS:

We studied 1089 women with no history of infertility or recurrent miscarriage who were seen for a transvaginal ultrasound scan. They were screened for uterine abnormalities using three-dimensional ultrasound. We determined prevalence of miscarriage and preterm labor in women with normal and abnormal uterine morphology.

RESULTS:

We found that 983 women had a normally shaped uterine cavity, 72 an arcuate, 29 a subseptate, and five a bicornuate uterus. Women with a subseptate uterus had a significantly higher proportion of first-trimester loss (Zeta = 4.68, P <.01) compared with women with a normal uterus. Women with an arcuate uterus had a significantly greater proportion of second-trimester loss (Zeta = 5.76, P <.01) and preterm labor (Zeta = 4.1, P <.01). There were no other significant differences in pregnancy outcomes between women with normal and abnormal uterine morphology.

CONCLUSION:

This study shows the potential value of three-dimensional ultrasound and confirmed that women with congenital uterine anomalies were more likely to have adverse pregnancy outcomes than women with a normal uterus.

PMID:
11755560
[PubMed - indexed for MEDLINE]
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