scholarly journals Reproductive and pregnancy outcomes following embryo transfer in women with previous cesarean section: A systematic review and meta‐analysis

2021 ◽  
Author(s):  
Gaetano Riemma ◽  
Pasquale De Franciscis ◽  
Marco Torella ◽  
Giuliana Narciso ◽  
Marco La Verde ◽  
...  
Keyword(s):  
Systematic Review ◽  
Cesarean Section ◽  
Embryo Transfer ◽  
Pregnancy Outcomes ◽  
Meta Analysis ◽  
Previous Cesarean Section ◽  
Previous Cesarean

scholarly journals Perioperative Complications of Hysterectomy After a Previous Cesarean Section: A Systematic Review and Meta-Analysis

2019 ◽  
Vol Volume 11 ◽  
pp. 1089-1098
Author(s):  
Siwanon Rattanakanokchai ◽  
Chumnan Kietpeerakool ◽  
Jatupol Srisomboon ◽  
Nampet Jampathong ◽  
Porjai Pattanittum ◽  
...  
Keyword(s):  
Systematic Review ◽  
Cesarean Section ◽  
Perioperative Complications ◽  
Meta Analysis ◽  
Previous Cesarean Section ◽  
Previous Cesarean

scholarly journals Prevalence and determinants of uterine rupture in Ethiopia: a systematic review and meta-analysis

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Addisu Alehegn Alemu ◽  
Mezinew Sintayehu Bitew ◽  
Kelemu Abebe Gelaw ◽  
Liknaw Bewket Zeleke ◽  
Getachew Mullu Kassa
Keyword(s):  
Systematic Review ◽  
Cesarean Section ◽  
Uterine Rupture ◽  
Meta Analysis ◽  
Health Concern ◽  
Cochrane Library ◽  
Previous Cesarean Section ◽  
Urban Residence ◽  
Obstructed Labor ◽  
Previous Cesarean

Abstract Uterine rupture is a serious public health concern that causes high maternal and perinatal morbidity and mortality in the developing world. Few of the studies conducted in Ethiopia show a high discrepancy in the prevalence of uterine rupture, which ranges between 1.6 and 16.7%. There also lacks a national study on this issue in Ethiopia. This systematic and meta-analysis, therefore, was conducted to assess the prevalence and determinants of uterine rupture in Ethiopia. We followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines for systematic review and meta-analysis of studies. All observational published studies were retrieved using relevant search terms in Google scholar, African Journals Online, CINHAL, HINARI, Science Direct, Cochrane Library, EMBASE and PubMed (Medline) databases. Newcastle–Ottawa assessment checklist for observational studies was used for critical appraisal of the included articles. The meta-analysis was done with STATA version 14 software. The I2 test statistics were used to assess heterogeneity among included studies, and publication bias was assessed using Begg's and Egger's tests. Odds ratio (OR) with a 95% confidence interval (CI) was presented using forest plots. A total of twelve studies were included in this study. The pooled prevalence of uterine rupture was 3.98% (95% CI 3.02, 4.95). The highest (7.82%) and lowest (1.53%) prevalence were identified in Amhara and Southern Nations, Nationality and Peoples Region (SNNPR), respectively. Determinants of uterine rupture were urban residence (OR = 0.15 (95% CI 0.09, 0.23)), primipara (OR = 0.12 (95% CI 0.06, 0.27)), previous cesarean section (OR = 3.23 (95% CI 2.12, 4.92)), obstructed labor(OR = 12.21 (95% CI 6.01, 24.82)), and partograph utilization (OR = 0.12 (95% CI 0.09, 0.17)). Almost one in twenty-five mothers had uterine rupture in Ethiopia. Urban residence, primiparity, previous cesarean section, obstructed labor and partograph utilization were significantly associated with uterine rupture. Therefore, intervention programs should address the identified factors to reduce the prevalence of uterine rupture.

Pregnancy outcomes among patients with recurrent pregnancy loss and uterine anatomic abnormalities

2018 ◽  
Vol 46 (7) ◽  
pp. 728-734 ◽  
Author(s):  
Daniel Gabbai ◽  
Avi Harlev ◽  
Michael Friger ◽  
Naama Steiner ◽  
Ruslan Sergienko ◽  
...  
Keyword(s):  
Risk Factor ◽  
Cesarean Section ◽  
Pregnancy Outcomes ◽  
Pregnancy Loss ◽  
Independent Risk Factor ◽  
Recurrent Pregnancy Loss ◽  
Surgical Correction ◽  
Previous Cesarean Section ◽  
The Impact ◽  
Previous Cesarean

Abstract Background: Different etiologies for recurrent pregnancy loss have been identified, among them are: anatomical, endocrine, genetic, chromosomal and thrombophilia pathologies. Aims: To assess medical and obstetric characteristics, and pregnancy outcomes, among women with uterine abnormalities and recurrent pregnancy loss (RPL). This study also aims to assess the impact of uterine anatomic surgical correction on pregnancy outcomes. Methods: A retrospective case control study of 313 patients with two or more consecutive pregnancy losses followed by a subsequent (index) pregnancy. Anatomic abnormalities were detected in 80 patients. All patients were evaluated and treated in the RPL clinic at Soroka University Medical Center. Out of 80 patients with uterine anatomic abnormalities, 19 underwent surgical correction, 32 did not and 29 had no clear record of surgical intervention, and thus were excluded from this study. Results: Women with anatomic abnormalities had a higher rate of previous cesarean section (18.8% vs. 8.6%, P=0.022), tended to have a lower number of previous live births (1.05 vs. 1.37, P=0.07), and a higher rate of preterm delivery (22.9% vs. 10%, P=0.037). Using multivariate logistic regression analysis, anatomic abnormality was identified as an independent risk factor for RPL in patients with previous cesarean section after controlling for place of residence, positive genetic/autoimmune/endocrine workup, and fertility problems (OR 7.22; 95% CI 1.17–44.54, P=0.03). Women suffering from anatomic abnormalities tended to have a higher rate of pregnancy loss compared to those without anatomic abnormalities (40% vs. 30.9%, P=0.2). The difference in pregnancy loss rate among women who underwent surgical correction compared to those who did not was not statistically significant. Conclusion: In patients with previous cesarean section, uterine abnormality is an independent risk factor for pregnancy loss. Surgical correction of uterine abnormalities among RPL patients might have the potential to improve live birth rate.

Pregnancy outcomes after day 5 versus day 6 blastocyst‐stage embryo transfer: A systematic review and meta‐analysis

2020 ◽  
Vol 46 (4) ◽  
pp. 595-605 ◽  
Author(s):  
Yi‐xin Li ◽  
Jin Wang ◽  
Tian‐ze Sun ◽  
Mo‐qi Lv ◽  
Pan Ge ◽  
...  
Keyword(s):  
Systematic Review ◽  
Embryo Transfer ◽  
Pregnancy Outcomes ◽  
Meta Analysis ◽  
Blastocyst Stage ◽  
Stage Embryo
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