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Successful pregnancies with the use of laminaria tents before embryo transfer for refractory cervical stenosis
I Z Glatstein1, S C Pang, P M McShane
1Reproductive Science Center of Boston, Deaconess-Waltham Hospital, Waltham, Massachusetts 02254, USA.
Objective:
To determine whether laminaria tents are a safe and effective method of cervical dilatation in patients with a history of cervical stenosis and difficult ET.
Design:
Case reports describing two patients.
Setting:
Tertiary care, assisted reproduction practice.
Patient(S):
Two patients with cervical stenosis and a history of multiple failed cycles of IVF.
Intervention(S):
Laminaria tents were placed intracervically before ET.
Main Outcome Measure(S):
Presence of a gestational sac and fetal heartbeat on ultrasound.
Result(S):
Successful clinical pregnancies occurred in both patients after laminaria placement and ET.
Conclusion(S):
Laminaria tent cervical dilatation appears to be a safe and effective option to assist ET in patients with a history of cervical stenosis.