Pregnancy and Obstetric Outcomes in Endometriosis

In: Endometriosis and Adenomyosis · 2022 · pp. 229–232 · doi:10.1007/978-3-030-97236-3_18 · W4285235541
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This paper reviews reported increased incidences of preterm birth, placenta previa, placental abruption, gestational hypertension, and peripartum hysterectomy in endometriosis patients, noting unresolved delivery mode recommendations for those with deep infiltrating endometriosis.

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This chapter reviews and synthesizes evidence on pregnancy and childbirth outcomes in women with endometriosis, with emphasis on deeply infiltrating pelvic disease and whether mode of delivery differs after remedial surgery versus with ongoing disease. It highlights that prior studies have reported higher rates of preterm birth, placenta previa, premature placental abruption, gestational hypertension, and peripartum hysterectomy, while noting that clear guidance on recommended delivery mode for deeply infiltrating endometriosis remains unresolved. A key limitation is that the question of delivery recommendations is not clearly answered in the existing literature summarized. This paper is centrally about endometriosis — it focuses on pregnancy and obstetric outcomes and how they relate to delivery considerations in deeply infiltrating endometriosis.

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Abstract

The topic of endometriosis in connection with pregnancy and childbirth has only become a focus of research in recent years. Although increased incidences of preterm birth, placenta previa, premature placental abruption, gestational hypertension, and peripartum hysterectomy have been reported, the issue of what recommendations for mode of delivery can be offered in patients with deeply infiltrating endometriosis in the pelvis has not been clearly answered. This applies both to patients who have undergone remedial surgery and also to patients with ongoing disease. Access this chapter Tax calculation will be finalised at checkout Purchases are for personal use only Similar content being viewed by others

References

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endometriosis

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