Risk of preterm birth, low birthweight and small-for-gestational-age infants in pregnancies with adenomyosis: A cohort study of the Japan Environment and Children's Study
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⤵ 27 in-corpus citations
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Pregnancy with adenomyosis was associated with increased risks of preterm birth, low birthweight, and small-for-gestational-age neonates compared to pregnancies without adenomyosis.
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Abstract
INTRODUCTION: This study evaluated the risk of preterm birth, low birthweight and small-for-gestational-age neonates born to mothers with adenomyosis during pregnancy.
MATERIAL AND METHODS: We used the results of a Japanese nationwide prospective birth cohort study, identifying 93 668 singleton deliveries from 2011 to 2014. We identified 314 pregnancies with adenomyosis using self-reported questionnaires. Multiple logistic regression analyses were conducted to examine whether adenomyosis was associated with adverse pregnancy outcome. Maternal age, smoking status, method of conception, history of parity, fibroids, endometriosis and body mass index before pregnancy were analyzed as confounding factors.
RESULTS: Multiple logistic regression analysis showed that pregnancy with adenomyosis was a risk factor for preterm birth at less than 37 weeks (adjusted odds ratio [aOR: 2.49, 95% confidence interval [CI] 1.89-3.41), preterm birth at less than 34 weeks (aOR 1.91, 95% CI 1.02-3.55), low birthweight <2500 g (aOR 1.83, 95% CI 1.36-2.45), low birthweight <1500 g (aOR 2.39, 95% CI 1.20-4.77) and small-for-gestational-age neonates (aOR 1.68, 95% CI 1.13-2.51).
CONCLUSIONS: This study found that pregnancy with adenomyosis was associated with preterm birth, low birthweight and small-for-gestational-age neonates.
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Cited by (29)
- Histological diagnosis of endometriosis and adenomyosis in relation to obstetric outcomes: a Dutch population-based cohort study 2026
- Obstetric and neonatal outcomes in women with internal and non-internal adenomyosis 2026
- Effects of adenomyosis and endomyometrial junctional zone on spontaneous preterm labor : a case-control study 2026
- Impact of Localization of Diffuse Adenomyosis on Frozen Embryo Transfer Outcomes and Perinatal Outcomes: A Prospective Cohort Study of 585 Patients 2025
- Biomarkers of endometriosis 2025
- Untangling the independent effect of endometriosis, adenomyosis, and ART-related factors on maternal, placental, fetal, and neonatal adverse outcomes: results from a systematic review and meta-analysis 2024
- Adenomyosis, especially in its focal nature, hampers implantation and live birth rate after single euploid embryo transfer 2024
- Fetal Growth Restriction in Patients with Adenomyosis. Incidence and Mechanism 2024
- Differences in the incidence of obstetric complications depending on the extent and location of adenomyosis lesions 2023
- Increased risk of placenta previa and preterm birth in pregnant women with endometriosis/adenomyosis: A propensity-score matching analysis of a nationwide perinatal database in Japan 2023
- Measures of fetal growth and preterm birth and risk of endometriosis and adenomyosis in adult life: a systematic review and meta-analysis 2023
- Impact of adenomyosis on perinatal outcomes: a large cohort study (JSOG database) 2023
- Fertility, Pregnancy Rate, and Neonatal Outcome of Patient with Adenomyosis 2022
- Adenomyosis in Reproductive Years: Abnormal Uterine Bleeding and Pain 2022
- The ADENO study: ADenomyosis and its Effect on Neonatal and Obstetric outcomes: a retrospective population-based study 2022
- The Impact of Adenomyosis on Pregnancy and Pregnancy Outcomes: A Review 2022
- Adenomyosis and Obstetrical Outcome: a Narrative Mini-Review of the Latest Evidence 2022
- Adenomyosis decreases the live birth rate but may not affect perinatal outcomes in assisted reproductive cycles 2022
- The impact of endometriosis and adenomyosis on the female reproductive system 2022
- Pregnancy and Obstetric Outcomes in Adenomyosis 2022
- Prepregnancy antiinflammatory diet in pregnant women with endometriosis: The Japan Environment and Children's Study 2021
- Effect of adenomyosis on adverse obstetrical outcomes in twin pregnancies achieved with assisted reproductive technology 2021
- Obstetric Outcome After Surgical Treatment of Endometriosis: A Review of the Literature 2021
- A Relationship Between Endometriosis and Obstetric Complications 2020
- The importance of the junctional zone of the endometrium in human reproduction 2020
- Diagnosing adenomyosis: an integrated clinical and imaging approach 2020
- Comparisons of the efficacy and recurrence of adenomyomectomy for severe uterine diffuse adenomyosis via laparotomy versus laparoscopy: a long-term result in a single institution 2019
- Impact of endometriosis and adenomyosis on pregnancy outcomes 2019
- Rethinking mechanisms, diagnosis and management of endometriosis 2019
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