@article{ATM33188,
author = {Xingping Zhao and Yunzhi Liu and Aiqian Zhang and Bingsi Gao and Qing Feng and Huan Huang and Xiuting Zhu and Xin Sun and Dabao Xu},
title = {Logistic regression analyses of factors affecting fertility of intrauterine adhesions patients},
journal = {Annals of Translational Medicine},
volume = {8},
number = {4},
year = {2019},
keywords = {},
abstract = {Background: Intrauterine adhesion (IUA) prevalence is difficult to measure, but appears to have increased over the last few decades. The reproductive outcomes following hysteroscopic adhesiolysis (HA) for moderate-severe IUAs were unsatisfactory, and few studies have analyzed the clinical characteristics pre-, intra- and post-HA to determine the main risk factors for infertility in patients with IUAs.
Methods: This retrospective observational study included 406 patients, desiring fertility, who had undergone HA between January 1st, 2016 to May 31st, 2017, and had moderate-to-severe IUA [5–12 on the American Fertility Society (AFS) classification scale]. Logistic regression was performed to analyze the data of the clinical characteristics associated with IUA.
Results: A total of 406 IUA patients were initially collected. Twenty-six [26] were lost during follow- up or excluded by other criteria; 380 were included in the study with a follow-up period ranging from 2 to 3 years. There were 215 patients (56.6%) that became pregnant, of whom 18 spontaneously miscarried, 5 birthed prematurely (31–36 gestational weeks), 182 delivered at term, and 10 were pregnant at the end of the study. A bivariate and binary logistic regression analysis showed that an age of >30 years, cohesive IUA, lack of increased menstrual volume, and more than 2 times undergoing HA procedure were the risk factors for infertility in IUA patients (P},
issn = {2305-5847}, url = {https://atm.amegroups.org/article/view/33188}
}