Management of endometriosis in a level 2B maternity unit: A retrospective study

This retrospective study from a level 2B maternity unit in Tunisia evaluated 60 women with clinically or histologically confirmed endometriosis managed during preconception or pregnancy, using medical-record data on demographics, diagnostic methods, treatments, and maternal-fetal outcomes. Diagnosis was confirmed mainly by laparoscopy (65%), with ultrasound (25%) and MRI (10%) used particularly for endometriomas and deep infiltrating endometriosis; preconception care included hormonal therapy (50%), surgical resection (35%), and ART (30%), with a reported ART conception rate of 66.7%. During pregnancy, 40% required pain management and 60% had enhanced monitoring, and complications included preterm labor (15%), placenta previa (5%), and cesarean delivery (45%), with an 85% live birth rate. Limitations explicitly stated were the retrospective design, small sample size, and lack of long-term follow-up, which may affect generalizability to higher-resource units. This paper is centrally about endometriosis — it reports real-world management strategies and outcomes for women with endometriosis in a level 2B maternity unit.

Read from the paper's body, not the abstract. Not a substitute for reading the paper. No clinical advice. How this works