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Risk of adverse pregnancy outcomes after abnormal hysterosalpingography
Erika Gandelsman1,2, Leonti Grin3, Tamar Wainstock4
1Department of Obstetrics and Gynecology, Hillel Yaffe Medical Center, Hadera, Israel.
Human Fertility (Cambridge, England)
|January 13, 2025
Summary
An abnormal hysterosalpingogram (HSG) is linked to adverse pregnancy outcomes. Uterine issues raise preeclampsia risk, while tubal problems increase preterm labor chances.
Area of Science:
- Reproductive Medicine
- Obstetrics and Gynecology
Background:
- Hysterosalpingogram (HSG) is crucial for evaluating female reproductive health.
- Understanding the link between HSG findings and pregnancy outcomes is vital for patient counseling and management.
Purpose of the Study:
- To investigate the association between abnormal hysterosalpingogram (HSG) findings and obstetrical and neonatal outcomes.
- To differentiate the impact of uterine versus tubal abnormalities on pregnancy complications.
Main Methods:
- Retrospective cohort study design.
- Comparison of pregnancy outcomes between women with normal and abnormal HSG results.
- Multivariate analysis to assess the risk of specific complications.
Main Results:
- Nearly 23% of women had abnormal HSG findings.
- Abnormal HSG was associated with a higher incidence of preterm labor (PTL).
- Uterine abnormalities correlated with increased risk of preeclampsia and low birthweight; tubal abnormalities with PTL.
Conclusions:
- Abnormal HSG findings are associated with adverse obstetrical outcomes.
- Specific HSG abnormalities predict distinct pregnancy complications, informing clinical risk assessment.
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