Pre-pregnancy Uterine Surgery Linked to Increased Risks of Preterm Birth and Stillbirth: Insights from a Large Population Study

Highlight

• Uterine surgeries requiring cervical dilation prior to first pregnancy increase the risk of preterm birth and stillbirth in subsequent pregnancies.
• Repeated uterine surgeries further amplify the risk, especially for births occurring at earlier gestational ages.
• Findings support cautious indication for uterine surgery and consideration of medical alternatives to reduce adverse pregnancy outcomes.
• Antenatal surveillance might be warranted for women with a history of uterine surgery to timely identify and manage risks.

Study Background