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MINERVA GINECOLOGICA

A Journal on Obstetrics and Gynecology


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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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Publication History

Issue published online: February 2, 2018
Article first published online: October 23, 2017
Manuscript accepted: October 5, 2017
Manuscript received: July 25, 2017

Cite this article as

Tzur T, Weintraub AY, Arias Gutman O, Baumfeld Y, Soriano D, Mastrolia SA, et al. Pregnancy outcomes in women with endometriosis. Minerva Ginecol 2018;70:144-9. DOI: 10.23736/S0026-4784.17.04123-5

Corresponding author e-mail

mastroliasa@gmail.com