Common Maternal and Neonatal Outcomes of Pregnancies Diagnosed with Endometriosis

E. A. K. Epaarachchi, B. S. S. De Silva
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Abstract

Endometriosis is a progressive stirring disease marked by the appearance of endometrial glands and stroma exterior of the uterus. It affects 8%–10% of reproductive-age women, and is linked to develop primary or secondary infertility in 30% of these women.The main objective of this systematic review was to critically analyse the current related literature to explore the maternal and neonatal outcomes of pregnancies diagnosed with endometriosis. Pregnant women with endometriosis are more likely to develop negative pregnancy outcomes and complicated neonatal outcomes, and therefore they may benefit from extra screening and early detection. Related literature within 5years (2016 - 2021) was searched from databases like CINAHL, MEDLINE, and PUBMED, Additionally, a few numbers of studies prior to 2016 were taken due to the availability of related information.A total number of 23 articles related to the search criteria was found and out of that, eight articles were selected due to their extreme relevancy. After critically analysing the eight studies authors explored that pregnant women diagnosed with endometriosis are at elevated risk to develop Placenta previa, hypertensive disorders, postpartum hemorrhage, emergency caesareans and preeclampsia as common maternal outcomes and premature birth, Low birth weight and still birth as common neonatal outcomes. In conclusion, women with endometriosis are at elevated risk of developing adverse maternal and neonatal outcomes in their pregnancies. Keywords: Endometriosis, Maternal outcomes, Neonatal outcomes, adverse effects
诊断为子宫内膜异位症的妊娠的常见产妇和新生儿结局
子宫内膜异位症是一种进行性搅动性疾病,其特征是子宫外出现子宫内膜腺体和间质。它影响8%-10%的育龄妇女,并与其中30%的妇女发生原发性或继发性不孕有关。本系统综述的主要目的是批判性地分析当前相关文献,以探讨诊断为子宫内膜异位症的孕妇和新生儿结局。患有子宫内膜异位症的孕妇更有可能出现不良妊娠结局和复杂的新生儿结局,因此她们可能受益于额外的筛查和早期发现。从CINAHL、MEDLINE、PUBMED等数据库中检索5年内(2016 - 2021年)的相关文献,此外,由于相关信息的可获得性,选取了少量2016年之前的研究。与检索条件相关的文章共有23篇,其中有8篇文章因相关性高而被选中。在对8项研究进行批判性分析后,作者发现,被诊断患有子宫内膜异位症的孕妇发生前置胎盘、高血压疾病、产后出血、紧急剖腹产和先兆子痫的风险较高,而早产、低出生体重和死胎则是常见的新生儿结局。总之,患有子宫内膜异位症的妇女在怀孕期间发生不良孕产妇和新生儿结局的风险较高。关键词:子宫内膜异位症,产妇结局,新生儿结局,不良反应
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