Fertility outcomes after hysteroscopic niche resection compared with expectant management in women with a niche in the uterine cesarean scar

• DOI: 10.1016/j.ejogrb.2023.03.009
• Publication Date: 2023-03-13T07:18:19Z
• Authors: Chuqing He; Wei Xia; Li Yan; Yang Wang; Yuan Tian; Ben W. Mol; Jian Zhang; JAF Huirne
• Keywords: Live birth

ObjectiveTo determine whether hysteroscopic niche resection (HNR) and expectant management are suitable in women with fertility desire a residual myometrium thickness (RMT) ≥ 2.5 mm.Study designThis retrospective cohort study was conducted at International Peace Maternity Child Health Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai, China between September 2016 December 2021. We reported the outcomes (with RMT mm) who received HNR or management.ResultsWe studied 166 women, whom 72 accepted 94 management. The group included more symptomatic terms postmenstrual spotting infertility. No differences were found regarding measures before treatment. live birth rate comparable both groups (HNR versus as 55.5% 45.7%, risk ratio = 1.48, 95% Cl 0.80–2.75, p 0.21). pregnancy higher than that (n 72.2% n 56.4%, 2.01, CI 1.04–3.88, 0.04). In subgroup infertility entry study, resulted significant (p 0.04) 0.01).ConclusionIn mm, may be superior to This biased selection against randomized our results still need validated future larger clinical multicenter controlled trials.