Geburtshilfliche Aspekte nach Endometriose-Operation

Peter Oppelt; Christina Jabkowski; Richard Bernhard Mayer; Andreas Shamiyeh; Omar Shebl; Ludwig Boltzmann

doi:10.1055/s-0035-1558396

Geburtshilfliche Aspekte nach Endometriose-Operation

Peter Oppelt, Christina Jabkowski, Richard Bernhard Mayer, Andreas Shamiyeh, Omar Shebl, Ludwig Boltzmann

In: Geburtshilfe und Frauenheilkunde · 2015 · vol. 75(07) · doi:10.1055/s-0035-1558396 · W2617876578

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This study investigated whether endometriosis impacts delivery mode selection and increases risks of adverse pregnancy outcomes or labor complications for surgically treated women.

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This study investigated whether endometriosis influences the mode of delivery and pregnancy outcomes by analyzing 51 women who underwent surgery for the condition and subsequently gave birth. The results indicated that while factors such as operating time, gestational week, and specific lesion locations like vaginal or rectal involvement showed univariate associations with delivery method, these variables lost statistical significance in regression analysis. Consequently, the authors concluded that the severity of endometriosis does not serve as a statistically significant predictor for choosing between spontaneous delivery and cesarean section. This paper is centrally about endometriosis — specifically examining obstetric outcomes and delivery modes following surgical treatment of the disease.

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Abstract

Does endometriosis affect the choice of mode of delivery and do women who underwent surgery because of endometriosis have a higher risk for adverse pregnancy outcome and complications during labor?

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Methods

We included all women on whom surgery was performed because of endometriosis between January 2009 and March 2009 in the General Hospital in Linz and between January 2013 and December 2013 in the Women's General Hospital Linz, who got pregnant after surgery and gave birth in the Women's General Hospital until March 2015.

Results

51 women met all inclusion criteria and were included in the survey. 31 (60.8%) of these women had a spontaneous delivery, 20 women (39,2%) had a cesarean section. In 4 cases, the cesarean section was performed because of endometriosis. In our collective of women who gave birth spontaneously, there were no cases of perineal laceration degrees III and IV and the average duration of fetal expulsion was 51,23 minutes. Although the operating time (p < 0,05), die gestational week (p < 0,001), the affection of the vagina and the rectovaginal fascia (ENZIAN A) (p < 0,05) and of the rectum (ENZIAN C) (p < 0,05) and the performance of a resection of the rectum has been performed (p < 0,05) showed influence on the mode of delivery, these influencing factors could not be verified in the regression analysis.

Conclusion

In our collective, the severity of endometriosis did not show to be a statistically significant influencing factor on the mode of delivery.

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endometriosis

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