Delivery after Operation for Deeply Infiltrating Endometriosis.

Biomed Res Int

Department of Obstetrics and Gynecology, Kepler University Clinic, Campus IV, Krankenhausstrasse 26-30, 4020 Linz, Austria.

Published: March 2017

AI Article Synopsis

  • The study investigated whether women with diagnosed endometriosis face higher risks during pregnancy and complications during labor.
  • It involved 51 women who previously had surgery for deeply infiltrating endometriosis and subsequently gave birth at a specific hospital.
  • Results showed that most deliveries were spontaneous, with low rates of complications like preterm delivery and no severe lacerations, indicating no increased risk related to their endometriosis history.

Article Abstract

Background. It has been suggested that, during pregnancy, endometriosis can cause a variety of disease-related complications. Objectives. The purpose of the study was to find out if women with histologically confirmed endometriosis do have a higher risk of adverse pregnancy outcome and if they suffer from a higher rate of complications during labor. Study Design. 51 women who underwent surgery because of deeply infiltrating endometriosis in the General Hospital Linz and the Women's General Hospital Linz and who gave birth in the Women's General Hospital Linz after the surgery were included in our survey. Results. 31 women (60.8%) had a spontaneous delivery and in 20 women (39.2%) a caesarean section was performed. There were no cases of third- and fourth-degree perineal lacerations. Collectively there were 4 cases (7.8%) of preterm delivery and one case (2.0%) of premature rupture of membranes. In two women (6.5%) a retained placenta was diagnosed. Conclusions. Our study is the first description on delivery modes after surgery for deeply infiltrating endometriosis. We did not find an elevated risk for perineal or vaginal laceration in women with a history of surgery for deeply infiltrating endometriosis, even when a resection of the rectum or of the posterior vaginal wall had been performed.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4969519PMC
http://dx.doi.org/10.1155/2016/8271452DOI Listing

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