Sebastiann Veersema

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OBJECTIVE To review systematically the medical literature reporting on the prevalence of a niche at the site of a Cesarean section (CS) scar using various diagnostic methods, on potential risk factors for the development of a niche and on niche-related gynecological symptoms in non-pregnant women. METHODS The PubMed and EMBASE databases were searched. All(More)
OBJECTIVE To evaluate the relationship between a niche and abnormal uterine bleeding, and to develop a sonographic classification of niches and evaluate its relationship to abnormal uterine bleeding. METHODS An observational prospective cohort study was performed between October 2007 and May 2009. All women who had a Cesarean section performed in our(More)
OBJECTIVE To investigate the success rate of proximal tubal occlusion with Essure devices in subfertile women with hydrosalpinges, and to observe the results of subsequent treatment with IVF. DESIGN Prospective, single-arm, clinical study. SETTING University hospital and teaching hospital. PATIENT(S) Ten women with uni- or bilateral hydrosalpinges(More)
OBJECTIVE To study the prevalence of niches in the caesarean scar in a random population, and the relationship with postmenstrual spotting and urinary incontinence. DESIGN A prospective cohort study. SETTING A teaching hospital in the Netherlands. POPULATION Non-pregnant women delivered by caesarean section. METHODS Transvaginal ultrasound (TVU) and(More)
BACKGROUND Various therapies are currently used to treat symptoms related to the niche (an anechoic area) in the caesarean scar, in particular to treat abnormal uterine bleeding (AUB). OBJECTIVE To systematically review the available literature reporting on the effect of various therapies on niche-related symptoms. SEARCH STRATEGY A systematic search of(More)
BACKGROUND In The Netherlands, 35 percent of births take place in "primary care" to women considered at low risk and during labor, approximately 30 percent are referred to "secondary care." High-risk women and some low-risk women deliver in secondary care. This study sought to compare planned place of birth and incidence of operative delivery among women at(More)
OBJECTIVE To evaluate the reliability of pelvic X-ray and transvaginal ultrasound to localize Essure microinserts (Conceptus, San Carlos, California) after successful placement in both fallopian tubes 3 months after placement. DESIGN Prospective, observational study. SETTING Gynecology departments at two teaching hospitals. PATIENT(S) One hundred(More)
BACKGROUND Hysteroscopy is known as the most accurate test for diagnosing intrauterine pathology. To optimize fertility treatment, it is increasingly common to perform hysteroscopy as a routine procedure prior to IVF. However, literature on the reproducibility of screening hysteroscopy is lacking. Therefore, the aim of the study was to assess the intra- and(More)
OBJECTIVE To describe incorrect positions of Essure microinserts detected at 3 months' follow-up. DESIGN Case report. SETTING Outpatient department of obstetrics and gynecology in a Dutch teaching hospital. PATIENT(S) Initial series of 100 patients who underwent hysteroscopic sterilization using Essure between December 2003 and June 2004. (More)