Evaluation of Obstetric Outcomes in Women with Endometriosis

Objective: It is generally accepted that the endometrium of women with endometriosis is abnormal, although there is ongoing debate as to whether these abnormalities impair decidualization and placentation during pregnancy.The aim of this study is to evaluate the obstetric and neonatal outcomes in patients diagnosed with endometriosis.Material and Methods: 1015 patients who underwent pregnancy follow-up in our obstetrics clinic and gave birth in our hospital between 2018 and 2023 were retrospectively examined.The patients evaluated in the study were evaluated in two separate groups according to the presence of endometriosis.The presence of preterm delivery, gestational diabetes (GDM), gestational hypertension (GHT), preeclampsia, premature rupture of membranes (PROM), fetal growth restriction (FGR), Neonatal Intensive Care Unit (NICU) were evaluated in all patients.Results: ART presence was found to be significantly higher in the endometriosis group (p=0.038).Gestational week was found to be significantly lower in the endometriosis group (p=0.018).The GHT presence was found to be significantly higher in the endometriosis group (p=0.034).The Cesarean presence was found to be significantly higher in the endometriosis group (p=0.037).Estimated blood loss volume was significantly higher in the endometriosis group (p=0.042).The NICU rate was significantly higher in the endometriosis group (p=0.044).Conclusion: Perinatal and neonatal outcomes resulting from endometriosis depend on multifactorial factors.Prospective and large population-based studies or meta-analyses are needed to clarify possible risks.