P-746 Obstetric outcomes of singleton birth after hysteroscopic division of septate uterus

This study was conducted at an infertility clinic affiliated with a teaching hospital. In the study group the septum reached the internal or the external cervical os in 14 and 10 patients respectively. After hysteroscopic correction, all patients were offered various infertility treatments depending on the underlying etiology. The inclusion criterion in this study was to have a singleton birth after hysteroscopy. Demographic and clinical data and obstetric outcomes were compared between the two groups.Main results and the role of chanceThere was no significant difference in mean age, infertility duration, infertility type and incidence of male infertility or ovulatory disorders between the two groups. There was a significantly higher BMI (0.048), and a higher incidence of history of miscarriage (P=0.002) and history of RPL (P=0.017) in the study group. There was significant lower incidence of tubal factors infertility (P=0.005) and endometriosis (P=0.03) in the study group, therefore there was higher incidence of spontaneous conception (70.8% vs 19.3%;P=0.000) and lower incidence of conception with IVF-ET (20.8% vs 66.3%;P=0.000) in the study group compared to the control group respectively. There was significantly higher incidence of prophylactic cervical cerclage (17.4% vs 0%;P=0.000), and delivery by CS (69.6% vs 41.2%;P=0.019) and lower incidence of vaginal delivery (30.4% vs 58.8%;P=0.019), in the study group compared to the control group. There was no significant differ...
Source: Human Reproduction - Category: Reproduction Medicine Source Type: research