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Endometriosis and Pregnancy: A Single Institution Experience

Author

Listed:
  • Maria Grazia Porpora

    (Department of Maternal and Child Health and Urological Sciences, Sapienza, University of Rome, Policlinico Umberto I, Viale del Policlinico 155, 00161 Rome, Italy)

  • Federica Tomao

    (Department of Maternal and Child Health and Urological Sciences, Sapienza, University of Rome, Policlinico Umberto I, Viale del Policlinico 155, 00161 Rome, Italy)

  • Adele Ticino

    (Department of Maternal and Child Health and Urological Sciences, Sapienza, University of Rome, Policlinico Umberto I, Viale del Policlinico 155, 00161 Rome, Italy)

  • Ilaria Piacenti

    (Department of Maternal and Child Health and Urological Sciences, Sapienza, University of Rome, Policlinico Umberto I, Viale del Policlinico 155, 00161 Rome, Italy)

  • Sara Scaramuzzino

    (Department of Maternal and Child Health and Urological Sciences, Sapienza, University of Rome, Policlinico Umberto I, Viale del Policlinico 155, 00161 Rome, Italy)

  • Stefania Simonetti

    (Department of Maternal and Child Health and Urological Sciences, Sapienza, University of Rome, Policlinico Umberto I, Viale del Policlinico 155, 00161 Rome, Italy)

  • Ludovica Imperiale

    (Department of Gynecology and Obstetrics Hôpital Erasme, Université Libre de Bruxelles, Route de Lennik, 808-B-1070 Brussels, Belgium)

  • Chiara Sangiuliano

    (Department of Maternal and Child Health and Urological Sciences, Sapienza, University of Rome, Policlinico Umberto I, Viale del Policlinico 155, 00161 Rome, Italy)

  • Luisa Masciullo

    (Department of Maternal and Child Health and Urological Sciences, Sapienza, University of Rome, Policlinico Umberto I, Viale del Policlinico 155, 00161 Rome, Italy)

  • Lucia Manganaro

    (Department of Radiological, Oncological, and Pathological Sciences, Sapienza, University of Rome, Policlinico Umberto I, Viale del Policlinico 155, 00161 Rome, Italy)

  • Pierluigi Benedetti Panici

    (Department of Maternal and Child Health and Urological Sciences, Sapienza, University of Rome, Policlinico Umberto I, Viale del Policlinico 155, 00161 Rome, Italy)

Abstract

Endometriosis may compromise the physiological course of pregnancy. The aim of this prospective observational study was to evaluate whether endometriosis causes a higher prevalence of obstetric and neonatal complications as well as a higher risk of caesarean section and to detect a possible correlation between the presence, type, and location of endometriosis and obstetric complications, previous surgery, and pregnancy outcome, as well as the influence of pregnancy on the course of the disease. We compared two cohorts of women with spontaneous pregnancy, with and without endometriosis. Obstetric and neonatal outcomes, mode of delivery, presence, type, and location of endometriotic lesions and the effect of pregnancy on the disease were analyzed. A total of 425 pregnancies were evaluated: 145 cases and 280 controls. Patients with endometriosis showed a higher incidence of miscarriage, threatened miscarriage, threatened preterm labor, preterm delivery, placental abruption, and a higher incidence of caesarean section. A significant correlation with pregnancy-induced hypertension and preeclampsia was found in the presence of adenomyosis. No difference in fetal outcome was found. One case of hemoperitoneum during pregnancy was observed. Pregnancy in women with endometriosis carries a higher risk of obstetric complications, such as miscarriage, threatened miscarriage, preterm labor, preterm birth, and a higher caesarean section rate. Endometriosis does not seem to influence fetal well-being.

Suggested Citation

  • Maria Grazia Porpora & Federica Tomao & Adele Ticino & Ilaria Piacenti & Sara Scaramuzzino & Stefania Simonetti & Ludovica Imperiale & Chiara Sangiuliano & Luisa Masciullo & Lucia Manganaro & Pierluig, 2020. "Endometriosis and Pregnancy: A Single Institution Experience," IJERPH, MDPI, vol. 17(2), pages 1-10, January.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:2:p:401-:d:306273
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    References listed on IDEAS

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    1. Mei-Lien Pan & Li-Ru Chen & Hsiao-Mei Tsao & Kuo-Hu Chen, 2017. "Risk of gestational hypertension-preeclampsia in women with preceding endometriosis: A nationwide population-based study," PLOS ONE, Public Library of Science, vol. 12(7), pages 1-13, July.
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    Cited by:

    1. Romana Prosperi Porta & Chiara Sangiuliano & Alessandra Cavalli & Laila Cristine Hirose Marques Pereira & Luisa Masciullo & Ilaria Piacenti & Sara Scaramuzzino & Maria Federica Viscardi & Maria Grazia, 2021. "Effects of Breastfeeding on Endometriosis-Related Pain: A Prospective Observational Study," IJERPH, MDPI, vol. 18(20), pages 1-12, October.

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