Placenta previa and placental abruption after assisted reproductive technology in patients with endometriosis: a systematic review and meta-analysis

Maria Luisa Gasparri, Nirgianakis K, Konstantinos Nirgianakis, Katayoun Taghavi, Taghavi K, Andrea Papadia, Mueller MD, Michael D. Mueller
Archives of gynecology and obstetrics · 2018 · vol. 298(1) , pp. 27–34 · doi:10.1007/s00404-018-4765-x · PMID:29602980 · W2794648618
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This systematic review and meta-analysis examines the association between assisted reproductive technology and adverse pregnancy outcomes like placenta previa and abruption in patients with endometriosis.

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I can’t access the paper’s content because the provided text is blocked by an anti-bot page (Anubis), so the study’s population, methods, results, and limitations are not available to summarize. This paper is about placenta previa and placental abruption after assisted reproductive technology specifically in patients with endometriosis, but I cannot verify or paraphrase its findings without the actual manuscript text. The paper’s relationship to endometriosis is direct by title and purported focus, though the details cannot be confirmed from the text shown.

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Abstract

IntroductionRecent evidence suggests that assisted reproductive technology (ART) increases the risk of adverse pregnancy outcomes, including placental disorders. Similarly, endometriosis resulted detrimental on placenta previa. However, up to 50% of women with endometriosis suffer from infertility, thus requiring ART. The aim of our metanalysis is to compare women with and without endometriosis undergoing ART in terms of placenta disorders events, to establish if ART itself or endometriosis, as an indication to ART, increases the risk of placenta previa.MethodsLiterature searches were conducted in January 2018 using electronic databases (PubMed, Medline, Scopus, Embase, Science Direct, and the Cochrane Library Scopus). Series comparing pregnancy outcome after ART in women with and without endometriosis were screened and data on placenta previa and placental abruption were extracted.ResultsFive retrospective case-control studies met the inclusion criteria. The meta-analysis revealed that endometriosis is associated with an increased risk of placenta previa in pregnancies achieved through ART (OR 2.96 (95% CI 1.25-7.03); p = 0.01, I2 =69%, random-effect model). No differences in placental abruption incidence were found (OR 0.44 (95% CI 0.10-1.87); p = 0.26, I2 = 0%, fixed-effect model).ConclusionPatients with endometriosis undergoing ART may have additional risk of placenta previa. Despite the inability to determine if endometriosis alone or endometriosis plus ART increase the risk, physicians should be aware of the potential additional risk that endometriosis patients undergoing ART harbor.
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Condition tags

endometriosis

MeSH descriptors

Abruptio Placentae Endometriosis Infertility Placenta Previa Reproductive Techniques, Assisted Endometriosis Endometriosis Female Humans Infertility Infertility Pregnancy Pregnancy Outcome Risk Factors

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

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Cited by (23)

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