Obstetrical complications and outcome in patients with endometriosis

Endometriosis is a disease that has a profound impact on the quality of life of women, due to the associated chronic pelvic pain, dysmenorrhea, dyspareunia and infertility. However, even getting long-awaited pregnancy (often after assisted reproductive technologies), patients with endometriosis have...

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Published in:The journal of maternal-fetal & neonatal medicine 2022-07, Vol.35 (14), p.2663-2677
Main Authors: Borisova, Anna V., Konnon, Setonde Romeo D., Tosto, Valentina, Gerli, Sandro, Radzinsky, Viktor E.
Format: Article
Language:English
Subjects:
Cesarean Section - adverse effects
Endometriosis
Endometriosis - complications
Female
Humans
Infant, Newborn
obstetrical complications
Placenta
Pregnancy
Pregnancy Complications - epidemiology
Pregnancy Complications - etiology
pregnancy management
Pregnancy Outcome - epidemiology
Premature Birth - epidemiology
Quality of Life
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Summary:Endometriosis is a disease that has a profound impact on the quality of life of women, due to the associated chronic pelvic pain, dysmenorrhea, dyspareunia and infertility. However, even getting long-awaited pregnancy (often after assisted reproductive technologies), patients with endometriosis have a high risk of obstetric complications, such as miscarriage, preterm birth, preeclampsia, placental abnormalities, hemorrhage in labor, birth of small for gestational age infants, stillbirth and higher cesarean section rate. In addition, during pregnancy acute complications of endometriosis may occur, such as spontaneous hemoperitoneum, which is rare but life-threatening conditions that in most cases require surgical intervention. The mechanisms of the observed complications in pregnant women with endometriosis are not fully understood. This review presents literature data and personal considerations on the effect of endometriosis on pregnancy outcome and the occurrence of complications, as well as their possible underlined mechanisms. Based on this, we proposed ways to reduce the risk of obstetric complications in pregnant women with a history of endometriosis.
ISSN:1476-7058
1476-4954
DOI:10.1080/14767058.2020.1793326