RESUMO
STUDY OBJECTIVE: To analyze results of endoscopic transection of uterine septum in women with primary infertility and history of recurrent abortion or late abortion. DESIGN: Observational study over 6 years (Canadian Task Force classification II-2). SETTING: University hospital. PATIENTS: Seventy women, 21 with primary infertility, 33 with recurrent abortions, and 16 with late abortion or preterm delivery. INTERVENTION: Hysteroscopic metroplasty with transection of uterine septum. MEASUREMENTS AND MAIN RESULTS: Hysteroscopic metroplasty was possibly effective for women with primary infertility, none of whom had had abortions. It was also effective in reducing the early abortion rate and in increasing term deliveries in the group with late abortion. CONCLUSION: Endoscopic transection of uterine septum may improve obstetric outcomes in women with late abortion, decrease abortion rates in those with recurrent abortions, and avoid pregnancy loss for patients with primary infertility.
Assuntos
Aborto Espontâneo/prevenção & controle , Histeroscopia/métodos , Infertilidade Feminina/cirurgia , Útero/anormalidades , Útero/cirurgia , Adolescente , Adulto , Estudos de Coortes , Feminino , Seguimentos , Humanos , Laparoscopia/métodos , Gravidez , Resultado da Gravidez , Primeiro Trimestre da Gravidez , Terceiro Trimestre da Gravidez , Probabilidade , Medição de Risco , Resultado do TratamentoRESUMO
OBJECTIVE: Our purpose was to study the likelihood of survival of infants who are born before 28 weeks of gestation and to examine the influence of fetal heart rate findings on neonatal death. STUDY DESIGN: In this retrospective study, we analyzed the mortality rate of infants at 2 months of age as a function of various obstetric and prenatal indicators. RESULTS: At 2 months, 207 of 325 children were still alive. The survival rate was also a function of gestational age, birth weight, the administration of corticosteroids, multiple pregnancies, and fetal heart rate. Fetal heart rate had the greatest effect on the mortality rate. Children with a reactive rate were 4 times more likely to survive than children with a flat tracing (P =.003; odd ratio, 4; 95% CI, 12.1; 39.8). CONCLUSION: The results in our study lead us to think that recording the fetal heart rate before and during labor may be useful in the prediction of perinatal death and may help obstetric decision-making.
