Effect of Endometriosis on Obstetric Outcomes: A Tertiary Center Experience


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MAHMUDOVA A., BİÇER E., karakus hatipoglu b., ocal k. p.

Journal of Clinical Obstetrics & Gynecology, vol.33, no.2, pp.72-80, 2023 (Scopus) identifier

  • Publication Type: Article / Article
  • Volume: 33 Issue: 2
  • Publication Date: 2023
  • Doi Number: 10.5336/jcog.2023-95314
  • Journal Name: Journal of Clinical Obstetrics & Gynecology
  • Journal Indexes: Scopus, Academic Search Premier, Central & Eastern European Academic Source (CEEAS), EMBASE, TR DİZİN (ULAKBİM)
  • Page Numbers: pp.72-80
  • Istanbul Medipol University Affiliated: No

Abstract

Objective: The aim of this study is to compare the course of pregnancy in women with and without endometriosis for obstetric complications. Material and Methods: Patients applied to İstanbul University-Cerrahpasa were included in the case group, 49 patients in the control group, and evaluated retrospectively. Early and late pregnancy complications were recorded. P<0.05 was considered stati stically sig- nificant. Results: A decrease in the rate of spontaneous pregnancy and a significant increase in the IVF rate were observed in the endometrio- sis group (p<0.05). Gestational hypertension,placental abruption, placental adhesion anomalies,premature rupture of membranes, fetal growth restriction, threat of preterm birth and oligohydramnios there was no significant difference between the two groups (p>0.05). T he rate of ce- sarean delivery was 55.1% in the control group and 61.0% in the endometriosis group (p>0.05). Postpartum uterine atony,bladder injury dur- ing cesarean section and requirement of postpartum blood transfusion seen in 6 (6.7%), 2(1.1%), and 1 (11.1%) patients respectively (p<0.05). Neonatal intensive care unit requirement was 39.0% and 24.4% in case and control group (p>0.05). Conclusion: Women with endometriosis are at higher risk for complications during pregnancy. The rates of miscarriage in the early gestational weeks, preeclampsia, p lacenta previa, gestational diabetes mellitus in the second and third trimesters, postpartum uterine atony, blood transfusion requirement,and s urgical compli- cations during cesarean section are higher in women with endometriosis.