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Master Thesis

Pronostic obstétrical après section de cloison utérine

Abstract : Aims: Aim of this retrospective bicentric study was to evaluate the effect of metroplasty on the obstetrical prognosis. Material and Methods: Women with a metroplasty from January 2003 to March 2013. Septate uterus were diagnosed at systematic examination, or after 2 miscarriages, after stillbirth, or preterm birth or infertility. A questionnaire was sent to patients and completed by an interview. The main outcome criteria was first live birth. Results: 138 patients have been treated. Follow up ranged from 9 to 36 months and was completed for 106 patients. Before surgery, 17.0% of patients had at least one live birth, 33.0% foetal losses only and 50.0% no pregnancy. After surgery, theses rates were respectively 43.4%, 8.5% and 48.1%. Eighty patients had a desire of pregnancy after surgery. Before surgery 16.3% of patients had at least one live birth, 47.5% foetal losses only and 36.2% no pregnancy. After surgery, theses rates were respectively 57.5%, 11.3% and 31.2%. Surgery significatively increased the live-birth rate (p< 0.0001) and decreased the foetal loss rate (p<0.001). Conclusion: Metroplasty improved obstetrical prognosis. When septate uterus is diagnosed incidentally, the benefit of metroplasty was not demonstrated. On the other hand, its benefits are clear for patients with miscarriages or infertility.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-01231120
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Submitted on : Thursday, November 19, 2015 - 3:19:55 PM
Last modification on : Friday, March 27, 2020 - 2:35:52 AM
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  • HAL Id : dumas-01231120, version 1

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Sophie Roy. Pronostic obstétrical après section de cloison utérine. Médecine humaine et pathologie. 2015. ⟨dumas-01231120⟩

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