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首页> 外文期刊>Gynecology, obstetrics & reproductive medicine : >Obstetric Characteristics in Women with Congenital Uterine Anomalies who Gave a Live Birth
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Obstetric Characteristics in Women with Congenital Uterine Anomalies who Gave a Live Birth

机译：有活产先天性子宫异常的妇女的产科特征

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OBJECTIVE: We retrospectively analyzed previous maternal obstetric characteristics as well as obstetric?characteristics regarding the current pregnancy in thirty three consecutive pregnant patients with?congenital uterine anomalies (CUA) who gave birth to a live baby at Hacettepe University Faculty of?Medicine, Department of Obstetrics and Gynecology between 2005 and 2013. STUDY DESIGN: Descriptive statistics were used to describe previous maternal obstetric characteristics?as well as the outcome of the successful pregnancy among different types of CUA. According to the?severity of the CUA, we additionally grouped the sample into two; as minor and major mullerian fusion?defect groups (mFD and MFD). We compared obstetric characteristics between these groups. RESULTS: We identified 33 patients with CUA. Among these; 14 (42,4%) were identified as septate; 6?(%18,2) as bicornuate, 7 (%21,2) as arcuate, 4 (%12,1) as didelphic, and 2 (%6,1) as unicornuate?uterus. In 32 subjects the delivery procedure was caesarean section. The mFD and MFD groups were?not statistically different in terms of maternal gravida, parity, dilatation and curettage (D&C) and abortion history. Besides, the two groups were similar in terms of gestational week of birth, birth weight and type?of fetal presentation. CONCLUSION: Previous studies emphasize that the type of mullerian anomaly is one of the determinants?of pregnancy outcome in women with CUA. However, we show that, this is not the case in women?with CUA who gave birth to a live baby. Our results suggest that, type of the mullerian anomaly - if the?anomaly allows a live birth - may lose its' predictive value on negative obstetric consequences.
机译：目的：我们回顾性分析了Hacettepe大学医学院医学系连续33例先天性子宫异常（CUA）的孕妇，并分析了先前的孕妇产科特征以及当前妊娠的产科特征。 2005年至2013年间的妇产科。研究设计：描述性统计数据用于描述以前的产妇特征以及不同类型CUA之间成功妊娠的结果。根据CUA的严重程度，我们另外将样本分为两个部分：作为次要和主要的米勒融合缺陷组（mFD和MFD）。我们比较了这些组之间的产科特征。结果：我们确定了33例CUA患者。在这些当中; 14例（42,4％）被鉴定为单独的;双角形为6？（％18,2），弓形为7（％21,2），双峰为4（％12,1），单角子宫为2（％6,1）。在32名受试者中，分娩过程为剖腹产。 mFD和MFD组在孕产妇体重，胎次，扩张刮宫（D＆C）和流产史方面无统计学差异。此外，两组在孕周，出生体重和胎儿表现类型方面相似。结论：先前的研究强调，米勒异常的类型是CUA妇女妊娠结局的决定因素之一。但是，我们证明，在CUA产下活胎的女性中情况并非如此。我们的结果表明，米勒异常的类型-如果异常允许活产-可能对产科负面影响失去其预测价值。

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