عنوان مقاله [English]
نویسندگان [English]چکیده [English]
Background and Purpose: Repeated abortion is a painful experience for couples and doctors, even more painful than infertility. It has been a while that repeated abortion due to anatomical abnormalities of the uterus has been recognized in midwifery. They often occur in the second trimester of pregnancy. This article is intended to review uterus abnormalities in repeated abortion as well as treatment and diagnostic procedures.
Methods: Electronic and manual search methods were used for collection of relevant material. Websites such as Sciencedirect, Medscape and INLM and textbooks such as Spiroff, Kistener, Williams, Novak and Berk were the selected sources.
Discussion: Most pre-term abortions originate from chromosomal abnormalities of the ovum or sperm, or from early developmental progress of the fetus, and are considered accidental. Even repeated abortions are likely to happen based on probability but there is a predisposing factor in couples suffering from this disorder. Congenital and acquired disorders of uterus are among factors causing repeated abortions, and are detectable through sonohysterectography or conventional hysterosalpingography. Most of such disorders can be treated by surgical procedures, and gestational outcomes after surgery have been successful.
Conclusion: Repeated abortions cause stress and anxiety, and one of the causes of repeated abortions is the abnormal; uterus anatomy which can be seen in 10 to 15 percent of cases. Therefore, emotional support and continuous consultation with a doctor are essential. The success rate after surgical intervention has been reported to be around 60 to 70 percent.