Obstetrical outcome in women with endometriosis including spontaneous hemoperitoneum and bowel perforation: a systematic review

Maria Tølbøll Glavind, Glavind MT, Maja Vedel Møllgaard, Møllgaard MV, Iversen ML, Maja Lundegaard Iversen, Linn Håkonsen Arendt, Arendt LH, Axel Forman
Best practice & research. Clinical obstetrics & gynaecology · 2018 · vol. 51 , pp. 41–52 · doi:10.1016/j.bpobgyn.2018.01.018 · PMID:29563051 · W2793016399
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This systematic review examines obstetrical outcomes in women with endometriosis, specifically focusing on spontaneous hemoperitoneum and bowel perforation.

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Abstract

Increasing evidence suggests that pregnant women with endometriosis have a higher risk of adverse obstetrical complications. The aim of this study was to systematically review the existing literature on this aspect. A PubMed/MEDLINE search was performed from its inception until September 2017 for studies on adverse obstetrical complications in pregnant women with endometriosis, including: preeclampsia, preterm birth, small for gestational age (SGA), antepartum hemorrhage, spontaneous hemoperitoneum, spontaneous bowel perforation, preterm birth, cesarean delivery, stillbirth and postpartum hemorrhage. Overall, the results showed an increased risk of preterm delivery, antepartum hemorrhage, delivery by cesarian section, and the rare complications of spontaneous hemorrhage in pregnancy and spontaneous bowel perforation. There is no firm evidence for any increased risk of preeclampsia, having a child born small for gestational age, stillbirth, or postpartum hemorrhage. In conclusion, pregnant patients with endometriosis should be offered special clinical attention.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Pregnancy Outcome Case-Control Studies Causality Cesarean Section Cesarean Section Cohort Studies Endometriosis Endometriosis Female Hemoperitoneum Hemoperitoneum Hemoperitoneum Humans Infant, Newborn Infant, Small for Gestational Age Intestinal Perforation Intestinal Perforation Intestinal Perforation Intestine, Large

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

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Cited by (21)

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License: CC0 · commercial use OK