{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,1,17]],"date-time":"2025-01-17T05:19:32Z","timestamp":1737091172397,"version":"3.33.0"},"reference-count":0,"publisher":"Care Comm","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Ceska Gynekol"],"published-print":{"date-parts":[[2024,12,31]]},"abstract":"<jats:p>Absolute uterine factor infertility is conditioned by the congenital or acquired absence of the uterus or the presence of a nonfunctioning uterus in women who wish to become biological mothers. Uterine transplantation along with assisted reproductive techniques can provide this option for women without a uterus. In the early research period, to minimize the risk of preterm birth and other pregnancy-related complications, the uterus of a donor with a history of one to three successfully completed pregnancies was recommended for transplantation. We believe that insisting on a singleton pregnancy is necessary to reduce the risk of premature birth in uterus recipients, rather than insisting on donating a uterus from a woman with a history of at least one birth. Mild post-transplant narrowing of the vaginal-neovaginal anastomosis was expected; however, the first severe vaginal stricture revealed soon after transplantation was an unpleasant surprise. To prevent post-transplant vaginal stricture, gynecologic surgeons should evaluate the shape and size of the donor\u2019s cervix, compare it with the size of the recipient\u2019s neovagina and vaginal vault, and perform a vaginal-neovaginal anastomosis to ensure free access for post-transplant cervical biopsies to reveal signs of subclinical rejection and smooth insertion of the embryo transfer catheter into the uterine cavity. \n\nKey words: absolute uterine factor infertility \u2013 nulliparity \u2013 preterm delivery \u2013 uterus transplantation \u2013 vaginal stricture <\/jats:p>","DOI":"10.48095\/cccg2024493","type":"journal-article","created":{"date-parts":[[2025,1,16]],"date-time":"2025-01-16T14:02:29Z","timestamp":1737036149000},"page":"493-495","source":"Crossref","is-referenced-by-count":0,"title":["Gynecological aspects that may affect the risk of preterm birth and the success of embryo transfers after uterus transplantation"],"prefix":"10.48095","volume":"89","author":[{"name":"Department of Gynecology and Obstetrics, 2nd Medical Faculty, Charles University and University Hospital Motol, Prague, Czech Republic","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roman","family":"Chmel","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marta","family":"Nov\u00e1\u010dkov\u00e1","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zlatko","family":"Pastor","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"28151","published-online":{"date-parts":[[2024,12,31]]},"container-title":["\u010cesk\u00e1 gynekologie"],"original-title":["Gynekologick\u00e9 aspekty, kter\u00e9 mohou ovlivnit riziko p\u0159ed\u010dasn\u00e9ho porodu a\u00a0\u00fasp\u011b\u0161nost embryotransfer\u016f po transplantaci d\u011blohy"],"deposited":{"date-parts":[[2025,1,16]],"date-time":"2025-01-16T14:02:38Z","timestamp":1737036158000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cs-gynekologie.cz\/en\/journals\/czech-gynaecology\/2024-6-8\/gynecological-aspects-that-may-affect-the-risk-of-preterm-birth-and-the-success-of-embryo-transfers-after-uterus-transplantation-139553"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,12,31]]},"references-count":0,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2024,12,31]]},"published-print":{"date-parts":[[2024,12,31]]}},"URL":"https:\/\/doi.org\/10.48095\/cccg2024493","relation":{},"ISSN":["1210-7832","1805-4455"],"issn-type":[{"value":"1210-7832","type":"print"},{"value":"1805-4455","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,12,31]]}}}