{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T22:30:03Z","timestamp":1792189803751,"version":"4.4.0"},"reference-count":67,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2024,2,28]],"date-time":"2024-02-28T00:00:00Z","timestamp":1709078400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100007219","name":"Natural Science Foundation of Shanghai Municipality","doi-asserted-by":"publisher","award":["20ZR1444000"],"award-info":[{"award-number":["20ZR1444000"]}],"id":[{"id":"10.13039\/100007219","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJOG"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To examine whether a history of hysteroscopic adhesiolysis (HA)\u2010treated intrauterine adhesions (IUAs) was associated with an increased risk of adverse obstetrical outcomes in subsequent pregnancies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Retrospective cohort study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>A tertiary\u2010care hospital in Shanghai, China.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Population<\/jats:title>\n                    <jats:p>A cohort of 114\u2009142 pregnant women who were issued an antenatal card and received routine antenatal care in Shanghai First Maternity and Infant Hospital, between January 2016 and October 2021.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      From the cohort of 114\u2009142 pregnant women, each woman with a history of HA\u2010treated IUA prior to the current pregnancy (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009780) was matched with four women without a history of IUAs (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20093010) using propensity score matching. The matching variables were maternal age and parity, mode of conception, pre\u2010pregnancy body mass index and prior history of abortion.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main outcome measures<\/jats:title>\n                    <jats:p>Pregnancy complications, placental abnormalities, postpartum haemorrhage and adverse birth outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Compared with women with no history of IUAs, women with a history of HA\u2010treated IUAs were at higher risk of pre\u2010eclampsia (RR\u20091.69, 95%\u2009CI 1.23\u20132.33), placenta accreta spectrum (RR\u20094.72, 95%\u2009CI 3.9\u20135.73), placenta praevia (RR\u20094.23, 95%\u2009CI 2.85\u20136.30), postpartum haemorrhage (RR\u20092.86, 95%\u2009CI 1.94\u20134.23), preterm premature rupture of membranes (RR\u20093.02, 95%\u2009CI 1.97\u20134.64) and iatrogenic preterm birth (RR\u20092.86, 95%\u2009CI 2.14\u20133.81). Those women were also more likely to receive cervical cerclage (RR\u20095.63, 95%\u2009CI 3.95\u20138.02) during pregnancy and haemostatic therapies after delivery (RR\u20092.17, 95%\u2009CI 1.75\u20132.69). Moreover, we observed that the RRs of those adverse obstetrical outcomes increased with the increasing number of hysteroscopic surgeries.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This study found that a history of HA\u2010treated IUAs, especially a history of repeated HAs, was associated with an increased risk of adverse obstetrical outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1471-0528.17793","type":"journal-article","created":{"date-parts":[[2024,2,28]],"date-time":"2024-02-28T22:24:39Z","timestamp":1709159079000},"page":"155-164","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Intrauterine adhesions treated with hysteroscopic adhesiolysis and subsequent obstetric outcome: A retrospective matched cohort 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