Delivery after Operation for Deeply Infiltrating Endometriosis
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This study analyzed delivery modes and complications in 51 women after surgery for deeply infiltrating endometriosis, finding no elevated risk for perineal or vaginal laceration.
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Abstract
Background. It has been suggested that, during pregnancy, endometriosis can cause a variety of disease-related complications. Objectives. The purpose of the study was to find out if women with histologically confirmed endometriosis do have a higher risk of adverse pregnancy outcome and if they suffer from a higher rate of complications during labor. Study Design. 51 women who underwent surgery because of deeply infiltrating endometriosis in the General Hospital Linz and the Women's General Hospital Linz and who gave birth in the Women's General Hospital Linz after the surgery were included in our survey. Results. 31 women (60.8%) had a spontaneous delivery and in 20 women (39.2%) a caesarean section was performed. There were no cases of third- and fourth-degree perineal lacerations. Collectively there were 4 cases (7.8%) of preterm delivery and one case (2.0%) of premature rupture of membranes. In two women (6.5%) a retained placenta was diagnosed. Conclusions. Our study is the first description on delivery modes after surgery for deeply infiltrating endometriosis. We did not find an elevated risk for perineal or vaginal laceration in women with a history of surgery for deeply infiltrating endometriosis, even when a resection of the rectum or of the posterior vaginal wall had been performed.
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Cited by (15)
- Birth Register for Deep Endometriosis (BiRDeE): first analysis and recommendations 2024
- Obstetric, neonatal complications and birth outcomes depending on endometriosis phenotype and surgical treatment volume 2023
- The impact of endometriosis and adenomyosis on the female reproductive system 2022
- Diagnostik und Therapie der tief infiltrierenden Endometriose (TIE) 2022
- Pregnancy and Obstetric Outcomes in Endometriosis 2022
- Endometriosis and adverse pregnancy outcome 2021
- Impact of Endometriosis on Pregnancy and Delivery – a Retrospective Cohort Study 2021
- NĖŠTUMO IR GIMDYMO BAIGTYS, PASTOJUS PO PAŽENGUSIOS ENDOMETRIOZĖS OPERACIJOS 2021
- Should the patients with endometriosis be treated as a risk group of pregnancy complications? Single center experience and literature review and literature review 2020
- Endometriosis and Pregnancy: A Single Institution Experience 2020
- A bélendometriosis miatt végzett műtétek hatása a fertilitásra 2019
- Obstetric complications after laparoscopic excision of posterior deep infiltrating endometriosis: a case–control study 2018
- Should we consider integrated approach for endometriosis-associated infertility as gold standard management? Rationale and results from a large cohort analysis 2017
- Obstetrical complications of endometriosis, particularly deep endometriosis 2017
- Endometriosis and obstetrics complications: a systematic review and meta-analysis 2017
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- europepmc
- last seen: 2026-06-11T06:19:48.454388+00:00
- openalex
- last seen: 2026-06-10T17:14:06.276822+00:00
- pubmed
- last seen: 2026-05-13T22:20:54.390225+00:00
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