ArticleArchives of gynecology and obstetrics2021
The association between operative hysteroscopy prior to assisted reproductive technology and cervical insufficiency in second trimester.
Article in Archives of gynecology and obstetrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.
- Surgical management of endocervical and decidual polyps during pregnancy: systematic review and meta-analysis.Archives of gynecology and obstetrics · 2023Pooled it
- Pregnancy outcomes after ultrasound- and physical examination-indicated cervical cerclage: a retrospective cohort study.Archives of gynecology and obstetrics · 2026Article
- Second-trimester pregnancy loss after in vitro fertilization: risk factors and risk reduction.F&S reports · 2026Article
- Development and validation of a predictive model for cervical insufficiency incorporating AMH and androstenedione.Scientific reports · 2025Article
- Pregnancy complications and outcomes in patients with early endometrial cancer or atypical hyperplasia after fertility-sparing treatment.Journal of gynecologic oncology · 2025Article
- A prediction model of preterm birth in singleton pregnancy after assisted reproduction therapy.BMC pregnancy and childbirth · 2025Article
- Risk factors of cervical insufficiency in women with PCOS undergoing IVF-ET treatment: a case-control study.Frontiers in endocrinology · 2025Article
- A simplified pre-conceptional laparoscopic cervical cerclage for cervical insufficiency: a retrospective study from a single center.BMC pregnancy and childbirth · 2024Observational
- Use of uterine electromyography in the prediction of preterm birth after transvaginal cervical cerclage.BMC pregnancy and childbirth · 2024Article
- Effect of different surgical routes on pregnancy outcome of history-indicated cervical cerclage.Archives of gynecology and obstetrics · 2024Article
- Contribution of cervical incompetence to occurrence of second trimester abortion in patients with polycystic ovary syndrome during the frozen embryo transfer cycle.Frontiers in endocrinology · 2024Article
- Can endometrial thickness at baseline or maximum stimulated levels during IVF predict the presence of endometrial polyps in women with two failed embryo transfers?Archives of gynecology and obstetrics · 2023Article
- Remodelling of anterior arches of post-caesarean niche (ROAN) with intrauterine morcellator: it is possible?Archives of gynecology and obstetrics · 2022Article
- A nomogram to predict extremely preterm birth in women with singleton pregnancies undergoing cervical cerclage.Heliyon · 2022Article
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo assess the association between operative hysteroscopy prior to assisted reproductive technology (ART) cycle and cervical insufficiency (CI) in the second trimester of pregnancy.
methodsA retrospective cohort study was conducted. The charts of all women who got pregnant following an ART cycle between January 2015 and June 2018 were reviewed. The study group consisted of pregnant women who underwent operative hysteroscopy within 6 months before conception. The control group consisted of pregnant women who did not undergo hysteroscopy or any type of cervical surgical procedure before conception. The primary outcome measure was CI during the second trimester (13-27 weeks of gestation).
resultsA total of 363 pregnancies achieved by ART cycles were assessed. After the exclusion of multiple pregnancies (n = 19), previous surgical procedures (n = 4) and first-trimester pregnancy losses (n = 80), there were 29 women in the study group and 231 women in the control group. The mean ages of the study and control groups were 31.2 ± 4.06 and 29.82 ± 4.71 years, respectively (P = 0.13). The indications for operative hysteroscopy were uterine septum (n = 19), T-shaped uterus (n = 4), endometrial polyp (n = 4), and submucosal fibroids (n = 2). The rates of CI in the study and control groups were 13.7% (4/29) and 3.4% (8/231), respectively (P = 0.012). The term delivery rates in the study and control groups were 79.3 and 91.8%, respectively (P = 0.044).
conclusionsOperative hysteroscopy prior to ART cycles is significantly associated with CI between 13 and 27 weeks of gestation. Further investigation with larger cohorts is urgently needed to clarify this issue.
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