Women with endometriosis at first pregnancy have an increased risk of adverse obstetric outcome.
J Matern Fetal Neonatal Med
; 28(15): 1795-8, 2015.
Article
em En
| MEDLINE
| ID: mdl-25262994
ABSTRACT
OBJECTIVE:
To evaluate pregnancy, delivery and neonatal outcome in singleton primiparous versus multiparous women with/without endometriosis.METHODS:
Multicentric, observational and cohort study on a group of Caucasian pregnant women (n = 2239) interviewed during their hospitalization for delivery in five Italian Gynecologic and Obstetric Units (Siena, Rome, Padua, Varese and Florence).RESULTS:
Primiparous women with endometriosis (n = 219) showed significantly higher risk of small for gestational age fetuses (OR 2.72, 95% CI 1.46-5.06), gestational diabetes (OR 2.13, 95% CI 1.32-3.44), preterm premature rupture of membranes (OR 2.93, 95% CI 1.24-6.87) and preterm birth (OR 2.24, 95% CI 1.46-3.44), and were hospitalized for a longer period of time (p < 0.0001) comparing with control group (n = 1331). Multiparous women with endometriosis (n = 97) delivered significantly more often small for gestational age fetuses (OR 2.93, 95% CI 1.28-6.67) than control group (n = 592). Newborns of primiparous women with endometriosis needed more frequently intensive care (p = 0.05) and were hospitalized for a longer period of time (p < 0.0001).CONCLUSIONS:
Women with endometriosis at first pregnancy have an increased risk of impaired obstetric outcome, while a reduced number of complications occur in the successive gestation. Therefore, it is worthy for obstetricians to increase the surveillance in nulliparous women with endometriosis during pregnancy.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Complicações na Gravidez
/
Doenças Uterinas
/
Resultado da Gravidez
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Endometriose
Tipo de estudo:
Clinical_trials
/
Etiology_studies
/
Incidence_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Female
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Humans
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Male
/
Newborn
/
Pregnancy
Idioma:
En
Ano de publicação:
2015
Tipo de documento:
Article