{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T19:57:59Z","timestamp":1787169479468,"version":"build-2736575974"},"reference-count":28,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2020,10,12]],"date-time":"2020-10-12T00:00:00Z","timestamp":1602460800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100008810","name":"NSW Ministry of Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100008810","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Obstet Gynecol Scand"],"published-print":{"date-parts":[[2021,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Endometrial ablation encapsulates a range of procedures undertaken to destroy the endometrial lining of the uterus as a treatment for heavy menstrual bleeding in women who no longer wish to bear children. Pregnancy following ablation, while unlikely, can occur and may carry higher rates of complications. The aim of this study was to identify factors associated with post\u2010endometrial ablation pregnancy and to describe pregnancy and birth outcomes for post\u2010endometrial ablation pregnancies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material and methods<\/jats:title>\n                    <jats:p>This population\u2010based data linkage study included all female residents of New South Wales, Australia, aged 15\u201050\u00a0years with a hospital admission between July 2001 to June 2014 who birthed between July 2001 and June 2015. Cox proportional hazard regression was used to estimate associations between women\u2019s characteristics and post\u2010endometrial ablation pregnancy of at least 20\u00a0weeks\u2019 gestation. Descriptive statistics were used to characterize pregnancy and birth outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of 18\u00a0559 women with an endometrial ablation, 575 (3.1%) had a post\u2010ablation pregnancy of at least 20\u00a0weeks\u2019 gestation. Nulliparity (adjusted hazard ratio [aHR] 12.2, 95% confidence interval [CI] 9.1\u201016.2), older age (35\u201039\u00a0years: aHR 0.39, 95% CI 0.29\u20100.51; 40\u201044\u00a0years: aHR 0.06, 95% CI 0.04\u20100.11), marital status (single: aHR 0.67, 95% CI 0.55\u20100.83; widowed\/divorced\/separated: aHR 0.58, 95% CI 0.36\u20100.94) and a diagnosis of heavy menstrual bleeding (aHR 0.09, 95% CI 0.07\u20100.13) were associated with post\u2010ablation pregnancy. There were high rates of cesarean delivery (43%), preterm birth (13%), twin or higher order pregnancies (9%) and stillbirth (13.3\/1000 births) among these post\u2010ablation pregnancies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Nulliparity at the time of endometrial ablation is associated with increased risk of post\u2010ablation pregnancy, highlighting the importance of careful discussion and consideration of treatment options for heavy menstrual bleeding.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/aogs.14002","type":"journal-article","created":{"date-parts":[[2020,9,27]],"date-time":"2020-09-27T22:54:52Z","timestamp":1601247292000},"page":"286-293","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["A study of pregnancy after endometrial ablation using linked population data"],"prefix":"10.1111","volume":"100","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6024-2958","authenticated-orcid":false,"given":"Ibinabo","family":"Ibiebele","sequence":"first","affiliation":[{"name":"Women and Babies Research The University of Sydney Northern Clinical School Sydney NSW Australia"},{"name":"Northern Sydney Local Health District Kolling Institute Sydney NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5988-1346","authenticated-orcid":false,"given":"Tanya A.","family":"Nippita","sequence":"additional","affiliation":[{"name":"Women and Babies Research The University of Sydney Northern Clinical School Sydney NSW Australia"},{"name":"Northern Sydney Local Health District Kolling Institute Sydney NSW Australia"},{"name":"Department of Obstetrics and Gynaecology Royal North Shore Hospital Sydney NSW 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