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Women with endometriosis at first pregnancy have an increased risk of adverse obstetric outcome
- Source :
- The journal of maternal-fetalneonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians. 28(15)
- Publication Year :
- 2014
-
Abstract
- To evaluate pregnancy, delivery and neonatal outcome in singleton primiparous versus multiparous women with/without endometriosis.Multicentric, observational and cohort study on a group of Caucasian pregnant women (n = 2239) interviewed during their hospitalization for delivery in five Italian Gynecologic and Obstetric Units (Siena, Rome, Padua, Varese and Florence).Primiparous women with endometriosis (n = 219) showed significantly higher risk of small for gestational age fetuses (OR: 2.72, 95% CI 1.46-5.06), gestational diabetes (OR: 2.13, 95% CI 1.32-3.44), preterm premature rupture of membranes (OR: 2.93, 95% CI 1.24-6.87) and preterm birth (OR: 2.24, 95% CI 1.46-3.44), and were hospitalized for a longer period of time (p 0.0001) comparing with control group (n = 1331). Multiparous women with endometriosis (n = 97) delivered significantly more often small for gestational age fetuses (OR: 2.93, 95% CI 1.28-6.67) than control group (n = 592). Newborns of primiparous women with endometriosis needed more frequently intensive care (p = 0.05) and were hospitalized for a longer period of time (p 0.0001).Women with endometriosis at first pregnancy have an increased risk of impaired obstetric outcome, while a reduced number of complications occur in the successive gestation. Therefore, it is worthy for obstetricians to increase the surveillance in nulliparous women with endometriosis during pregnancy.
- Subjects :
- Male
medicine.medical_specialty
Endometriosis
gestational diabetes
neonatal complications
pPROM
pregnancy outcome
preterm birth
small for gestational age
Gestational Age
Pregnancy
Risk Factors
medicine
Humans
Multicenter Studies as Topic
Gynecology
Uterine Diseases
Obstetrics
business.industry
Incidence
First pregnancy
Infant, Newborn
Pregnancy Outcome
Obstetrics and Gynecology
Infant
Case-Control Studies
Female
Parity
Pregnancy Complications
Premature Birth
medicine.disease
Newborn
Gestational diabetes
Settore MED/40
Pediatrics, Perinatology and Child Health
Small for gestational age
Observational study
business
Premature rupture of membranes
Cohort study
Subjects
Details
- ISSN :
- 14764954
- Volume :
- 28
- Issue :
- 15
- Database :
- OpenAIRE
- Journal :
- The journal of maternal-fetalneonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians
- Accession number :
- edsair.doi.dedup.....f181e3d557ed7fff4cda075c184f0128