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Minerva Ginecologica 2018 April;70(2):144-9

DOI: 10.23736/S0026-4784.17.04123-5

Copyright © 2017 EDIZIONI MINERVA MEDICA

language: English

Pregnancy outcomes in women with endometriosis

Tamar TZUR 1, Adi Y. WEINTRAUB 1, Orly ARIAS GUTMAN 1, Yael BAUMFELD 1, David SORIANO 2, Salvatore A. MASTROLIA 1, 3 , Eyal SHEINER 1

1 Department of Obstetrics and Gynecology, Faculty of Health Sciences, Soroka University Medical Center, Ben-Gurion University of the Negev, Beer-Sheva, Israel; 2 Department of Obstetrics and Gynecology, Sheba Medical Center, Tel Hashomer, Tel-Aviv University, Ramat Gan, Israel; 3 Department of Obstetrics and Gynecology, Fondazione MBBM, San Gerardo Hospital, University of Milano Bicocca, Monza, Italy


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BACKGROUND: The aim of this study was to investigate whether patients with endometriosis who achieved pregnancy have a higher risk for pregnancy complications and adverse perinatal outcomes as compared to patients without endometriosis.
METHODS: The study compared obstetrical and perinatal outcomes of women with and without endometriosis who delivered between 1988-2013 at the Soroka University Medical Center. The study population included 504 deliveries divided into the following groups: 1) women with endometriosis (N.=35); and 2) without endometriosis (N.=467). Endometriosis was diagnosed by laparoscopy or laparotomy. Multiple logistic regression models were used to control for confounders.
RESULTS: No significant increase in obstetrical complications was noted in the endometriosis group, but significantly higher rates of cesarean sections. Perinatal outcomes were comparable between the groups.
CONCLUSIONS: In our population, endometriosis was not found as a risk factor for obstetrical complications or adverse perinatal outcomes. Larger population based cohort studies are needed to clarify the relationship between endometriosis and adverse pregnancy outcomes.


KEY WORDS: Endometriosis - Preeclampsia - Fetal growth retardation - Premature birth - Cesarean section

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