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Journal of Case Reports
Pregnancy Outcome following Endometrial Ablation
Brithajini Sritharan, Baian Alhindawi, Fatai Ade Sanusi 
Department of Obstetrics and Gynaecology, West Hertfordshire NHS Trusts, Watford General Hospital, Watford WD18 0HB, United Kingdom.
Corresponding Author:
Dr Brinthajini Sritharan
Email: sajmahal_5@hotmail.com
Received: 06-APR-2022 Accepted: 25-MAY-2022 Published Online: 05-JUN-2022
DOI: http://dx.doi.org/10.17659/01.2022.0016
Introduction: Pregnancies following endometrial ablation are rare. Management in the antenatal period should highlight and monitor the risks to mother and baby. Risks include intrauterine growth restriction, premature labour and premature rupture of membranes, morbidly adherent placenta, uterine rupture, postpartum haemorrhage and hysterectomy. Case Report: A 32-year-old, para 2, woman presented at 26 weeks gestation. She historically had an endometrial ablation. Since the procedure, she had amenorrhea and had been using progesterone-only pills with good compliance. Two growth scans suggested appropriate growth of the baby. Premature rupture of membranes at 35 weeks and transverse lie resulted in a caesarean section with bilateral tubal ligation finally leading to delivery of healthy baby. Conclusion: Individuals considering endometrial ablation should have completed their family. Pre-operatively and post-operatively discussion of effective ideally irreversible contraception should be discussed. Outcomes involving complications to mother and pregnancy should be reiterated.
Keywords : Hysteroscopy, Intrauterine Growth Restriction, Placenta Praevia, Premature Rupture of Membrane, Preterm Infants, Pregnancy.
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