Skip to main content

Table 2 Impact of uterine niche on ART

From: Exploring uterine niche: a systemic review on secondary infertility rates, pathophysiological correlations, impact on assisted reproduction technology (ART), and the efficacy of surgical interventions

Study

Design

n

Artificial reproduction technique

Result

Zhang 2022 [38]

Retrospective cohort study

1122

In vitro fertilized frozen-thawed embryo transfer

The clinical pregnancy and live birth rates were decreased in the CSD group compared with the VD and CD groups.

Lawrenz 2019 [14]

Observational and exploratory clinical study (No strict cohort design)

495

Frozen embryo transfer

No significant differences in the reproductive outcome after FET were found between the patients with and without an Isthmocele when ICF was excluded before the embryo transfer procedure.

Mensi 2023 [2]

Retrospective cohort study

114

IVF

The clinical pregnancy rate and live birth rate were significantly lower among women with CSD.

Diao 2021 [39]

Retrospective cohort study

834

IVF/ICSI

The live birth rate and mean implantation rate in the CSD group were significantly lower than those in the VD and CD groups.

Yao 2022 [40]

Retrospective cohort study

2449

IVF/ICSI

Compared with women without niches, women with niches had a reduced live birth rate and implantation rate.

Cohen 2023 [41]

Retrospective case-control study

86

Embryo transfer

Patients undergoing fertility treatments, whether diagnosed with a uterine niche before conception or not, exhibited similar live birth rates.

  1. CSD– Cesarean scar defect, VD– Vaginal delivery, CD– Cesarean delivery, FET– Frozen embryo transfer, ICF– Intracavity fluid, IVF– In vitro fertilization, ICSI– Intracytoplasmic sperm injection