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.
