Evaluating the effect of

Abstract

Introduction: Nowadays diagnostic and operative hysteroscopy is an integral part of infertility workup. For the operative interventions dilatation of the cervix is needed. The aim of this study was to evaluate the effect of cervical dilatation on the later obstetrical outcome. Methods: 1975 Operative hysteroscopy procedures were studied of a 10-year period in the two departments. 66 Patients with any kind of obstetrical events after hysteroscopy were enrolled. Groups were created based on obstetrical history and type of surgery. Week of delivery was analyzed in each group. Data were statistically compared to controls without previous hysteroscopic operation. Results: There was no significant difference between the week of delivery of the hysteroscopy and control group patients. Also no statistical difference was found between week of delivery of groups created on the base of neither obstetrical history nor type of surgery. Conclusions: Patients who have operative hysteroscopic intervention with cervical dilatation prior to their pregnancy irrespectively of their previous obstetrical history have no increased risk for preterm delivery because of the cervical dilatation.

Keywords

• Hysteroscopy
• Cervical dilatation
• Preterm delivery
• Infertility
• Intrauterine pathology