Impact of adenomyosis on pregnancy outcomes: a retrospective consecutive cohort study.
Eur Rev Med Pharmacol Sci
; 28(2): 577-583, 2024 Jan.
Article
in En
| MEDLINE
| ID: mdl-38305602
ABSTRACT
OBJECTIVE:
This retrospective study explored the potential connection between adenomyosis and pregnancy outcomes. PATIENTS ANDMETHODS:
A study included data from a total of 1,208 pregnancies. The adenomyosis group included 334 pregnant women with adenomyosis, and women in the control group (n=874) had uncomplicated pregnancies. Data on pregnancy complications and maternal and neonatal outcomes were compared.RESULTS:
The incidence of gestational hypertension, gestational diabetes, and placenta previa was higher in the adenomyosis group compared to the control group (p<0.05). Adenomyosis was linked to a higher risk of postpartum hemorrhage (1,000-1,500 ml) but a lower risk of premature rupture of membranes (PROM) (p<0.05). Diagnosis of adenomyosis correlated with increased incidence of low fetal weight (20.3% vs. 21.3%, p<0.05) and a low APGAR score at 1 min (p<0.05).CONCLUSIONS:
Adenomyosis correlated with a higher incidence of gestational hypertension, placenta previa, and gestational diabetes. At the same time, adenomyosis correlated with a significantly lower incidence of PROM compared to uncomplicated pregnancy. There was a significant increase in the incidence of postpartum hemorrhage and a higher risk of low fetal weight and lower APGAR score at 1 min in pregnancies with adenomyosis.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Placenta Previa
/
Diabetes, Gestational
/
Hypertension, Pregnancy-Induced
/
Adenomyosis
/
Postpartum Hemorrhage
Type of study:
Etiology_studies
/
Incidence_studies
/
Observational_studies
/
Risk_factors_studies
Limits:
Female
/
Humans
/
Newborn
/
Pregnancy
Language:
En
Journal:
Eur Rev Med Pharmacol Sci
/
Eur. rev. med. pharmacol. sci
/
European review for medical and pharmacological sciences
Journal subject:
FARMACOLOGIA
/
TOXICOLOGIA
Year:
2024
Document type:
Article
Affiliation country:
China
Country of publication:
Italia