Pregnancy and Obstetric Outcomes in Adenomyosis
Adenomyosis negatively affects pregnancy and obstetric outcomes, leading to lower clinical pregnancy rates, higher miscarriage rates, and increased risks of preterm delivery, preeclampsia, and C-sections.
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This chapter reviews literature on how adenomyosis affects pregnancy and obstetric outcomes, summarizing findings across studies of fertility treatments (including ART) and general pregnancy outcomes. It reports associations with lower clinical pregnancy rates, higher miscarriage risk, and increased risks of preterm delivery, preeclampsia, small for gestational age, fetal malpresentation, cesarean delivery, and postpartum hemorrhage, emphasizing that counseling before ART and close monitoring during pregnancy are highlighted in the reviewed evidence. A key limitation is that the chapter is a narrative review of heterogeneous studies rather than a single original cohort, and it does not provide new quantitative estimates within the provided text. Relevance to endometriosis: it is included as adenomyosis-focused literature within an endometriosis/adenomyosis corpus and discusses pregnancy complications in adenomyosis patients, with explicit mention of studies evaluating adenomyosis in relation to endometriosis phenotypes and outcomes, though the chapter’s main focus is adenomyosis pregnancy and obstetric outcomes.
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References (27)
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