{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T13:55:10Z","timestamp":1769694910757,"version":"3.49.0"},"reference-count":22,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2022,5,25]],"date-time":"2022-05-25T00:00:00Z","timestamp":1653436800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To explore the impact of concomitant intrauterine adhesions (IUAs) on pregnancy outcomes and obstetric complications in women with a septate uterus.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This retrospective cohort included women with a septate uterus, with or without IUAs, between 2015 and 2019 in our hospital. The main outcomes were clinical pregnancy rate, live\u2010birth rate, and obstetric complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 336 women with a septate uterus\u2014105 women (31.3%) with IUAs and 231 (68.7%) women without IUAs\u2014were analyzed. The rates of clinical pregnancy and live birth among women with moderate\u2010to\u2010severe IUAs were significantly decreased compared with those among women without IUAs (69.9% vs. 76.6%, odds ratio [OR] 0.51; 95% confidence interval [CI] 0.27\u20130.99, <jats:italic>P<\/jats:italic>\u00a0=\u20090.046, and 57.0% vs. 67.1%, OR 0.53; 95% CI 0.30\u20130.95, <jats:italic>P<\/jats:italic>\u00a0=\u20090.032, respectively). However, these rates were similar between women with mild IUAs and women without IUAs. Women with moderate\u2010to\u2010severe IUAs had a higher incidence of abnormal placentation than women with a septum only (13.2% vs. 1.3%, <jats:italic>P<\/jats:italic>\u00a0=\u20090.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Concomitant moderate\u2010to\u2010severe IUAs significantly reduce the rates of clinical pregnancy and live birth and increase the risk of abnormal placentation in subsequent pregnancies in women with a septate uterus.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.14260","type":"journal-article","created":{"date-parts":[[2022,5,16]],"date-time":"2022-05-16T08:00:20Z","timestamp":1652688020000},"page":"875-881","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Impact of concomitant intrauterine adhesions on pregnancy outcomes and obstetric complications in women with a septate uterus"],"prefix":"10.1002","volume":"159","author":[{"given":"Minghong","family":"Shen","sequence":"first","affiliation":[{"name":"Department of Minimally Invasive Gynecologic Center, Beijing Maternal and Child Health Care Hospital Beijing Obstetrics and Gynecology Hospital, Capital Medical University  Beijing China"},{"name":"Department of Gynecology Shengli Clinical Medical College of Fujian Medical University, Fujian Provincial Hospital  Fuzhou Fujian Province China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hua","family":"Duan","sequence":"additional","affiliation":[{"name":"Department of Minimally Invasive Gynecologic Center, Beijing Maternal and Child Health Care Hospital Beijing Obstetrics and Gynecology Hospital, Capital Medical University  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yanan","family":"Chang","sequence":"additional","affiliation":[{"name":"Department of Minimally Invasive Gynecologic Center, Beijing Maternal and Child Health Care Hospital Beijing Obstetrics and Gynecology Hospital, Capital Medical University  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qi","family":"Lin","sequence":"additional","affiliation":[{"name":"Department of Minimally Invasive Gynecologic Center, Beijing Maternal and Child Health Care Hospital Beijing Obstetrics and Gynecology Hospital, Capital Medical University  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chao","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Minimally Invasive Gynecologic Center, Beijing Maternal and Child Health Care Hospital Beijing Obstetrics and Gynecology Hospital, Capital Medical University  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sirui","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Minimally Invasive Gynecologic Center, Beijing Maternal and Child Health Care 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