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Women aged 26\u201350 years (mean 37.5 \u00b1 5 years) conceived a median of 1.5 years after ablation (range: 3 weeks prior to 13 years after). When reported, 80\u201390% had not used contraception. In all, 85% of pregnancies from trial\/observational studies ended in termination, miscarriage or ectopic pregnancy. Pregnancies that continued (case report and non\u2010case report sources) had high rates of preterm delivery, caesarean delivery, caesarean hysterectomy, and morbidly adherent placenta. Case reports also frequently described preterm premature rupture of membranes, intrauterine growth restriction, intrauterine fetal demise, uterine rupture, and neonatal demise.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>An unexpectedly high rate of pregnancy complications is reported in the available literature (which may reflect publication bias) and high\u2010quality evidence is lacking. However, based on the existing evidence, women undergoing endometrial ablation should be informed that subsequent pregnancy may have serious complications and should be counselled to use reliable contraception after the procedure.<\/jats:p><\/jats:sec><jats:sec><jats:title>Tweetable abstract<\/jats:title><jats:p>Systematic review \u2013 pregnancies reported after endometrial ablation have an increased risk of adverse outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1471-0528.14854","type":"journal-article","created":{"date-parts":[[2017,9,27]],"date-time":"2017-09-27T06:00:09Z","timestamp":1506492009000},"page":"43-53","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":47,"title":["Pregnancy after endometrial ablation: a systematic review"],"prefix":"10.1111","volume":"125","author":[{"given":"JR","family":"Kohn","sequence":"first","affiliation":[{"name":"Baylor College of Medicine Houston TX USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"AA","family":"Shamshirsaz","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Division of Maternal\u2010Fetal Medicine Baylor College of Medicine Houston TX USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E","family":"Popek","sequence":"additional","affiliation":[{"name":"Department of Pathology Division of Perinatal &amp; Placental Pathology Baylor College of Medicine Houston TX USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"X","family":"Guan","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Section of Minimally Invasive Gynaecologic Surgery Baylor College of Medicine Houston TX USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"MA","family":"Belfort","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Division of Maternal\u2010Fetal Medicine Baylor College of Medicine Houston TX USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"KA","family":"Fox","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Division of Maternal\u2010Fetal Medicine Baylor College of Medicine Houston TX USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,9,27]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/GCO.0b013e3283630e9c"},{"issue":"4","key":"e_1_2_6_3_1","first-page":"Cd001501","article-title":"Endometrial destruction techniques for heavy menstrual bleeding","author":"Lethaby A","year":"2005","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1028-4559(10)60067-8"},{"key":"e_1_2_6_5_1","first-page":"237","article-title":"Pregnancy after endometrial ablation. 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