Delivery after Operation for Deeply Infiltrating Endometriosis

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AI-generated summary by claude@2026-06, 2026-06-09

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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Condition tags

endometriosis

MeSH descriptors

Delivery, Obstetric Endometriosis Postoperative Complications Adult Cesarean Section Delivery, Obstetric Endometriosis Endometriosis Female Fetal Blood Fetal Blood Humans Hydrogen-Ion Concentration Infant, Newborn Perineum Perineum Pregnancy Pregnancy Complications Pregnancy Outcome Risk Factors

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References (22)

Cited by (15)

Source provenance

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
License: CC0 · commercial use OK