Delivery after operation for deeply infiltrating endometriosis

C Allerstorfer, Elmar R. Reiter, RB Mayer, Omar Shebl, Peter Oppelt
In: Geburtshilfe und Frauenheilkunde · 2018 · doi:10.1055/s-0038-1671495 · W2898794961
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This paper investigated the potential pregnancy complications associated with deeply infiltrating endometriosis.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-10 · read from full text ⓘ

This study investigated whether women with histologically confirmed deeply infiltrating endometriosis have higher risks of adverse pregnancy outcomes and intrapartum complications after undergoing surgery. It included 51 women who had surgery for deeply infiltrating endometriosis and then gave birth at the Women’s General Hospital Linz, reporting delivery mode and selected labor-related outcomes. Findings showed 60.8% spontaneous vaginal delivery and 39.2% cesarean delivery, with 7.8% preterm delivery, 2.0% premature rupture of membranes, and 6.5% retained placenta; notably, there were no third- or fourth-degree perineal lacerations. The authors conclude this is the first description of delivery modes after surgery for deeply infiltrating endometriosis and report no elevated risk of perineal or vaginal laceration even after rectal or posterior vaginal wall resection. This paper is centrally about endometriosis — it describes pregnancy and delivery outcomes after surgery for deeply infiltrating endometriosis.

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Abstract

It has been suggested that during pregnancy, endometriosis can cause a variety of disease-related complications.
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Background

It has been suggested that during pregnancy, endometriosis can cause a variety of disease-related complications. The purpose of the study was to find out women if 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.

Methods

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. In our collective 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.

Conclusion

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 deep infiltrating endometriosis, even when a resection of the rectum or of the posterior vaginal wall had been performed.

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endometriosis

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