Women With Complex Vascular Anomalies: Impact on Contraception, Pregnancy and Reproductive Health.

IF 3.1 4区医学 Q2 DERMATOLOGY

Journal of Cutaneous Medicine and Surgery Pub Date : 2025-03-01 Epub Date: 2024-12-14 DOI:10.1177/12034754241302825

Jerome Coulombe, Sandra Ondrejchak, Josee Dubois, Julie Powell, Catherine McCuaig, Catherine Farrell, Catherine Taillefer, Elisabeth Rousseau

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引用次数: 0

Abstract

Background: Literature is scarce regarding contraceptive and reproductive health in women with complex vascular anomalies (VA).

Objectives: To assess obstetrical, gynecological and reproductive health in this population.

Methods: Female adult patients of childbearing age from the VA clinic of a single tertiary care centre in Canada have been recruited by retrospective chart review, and administered phone interviews.

Results: Of the 16 patients recruited (mean age 32.8 years old), 14 used oral contraceptive pills (OCP) and intrauterine devices, with 3 patients experiencing a worsening of their VA under OCP. Fifteen women had children, with 12 experiencing variable worsening of their VA that returned to baseline after delivery or nursing cessation. Three women had severe complications. Degree of complications was variable in each subsequent pregnancy.

Conclusion: Contraception and pregnancy management in women should be individualized and coordinated with a VA referral centre.

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患有复杂血管异常的妇女：对避孕、妊娠和生殖健康的影响。

背景：关于复杂血管异常（VA）妇女的避孕和生殖健康的文献很少。目的：评估该人群的产科、妇科和生殖健康。方法：采用回顾性图表回顾和电话访谈的方法，从加拿大一家三级保健中心的VA诊所招募育龄女性成年患者。结果：招募的16名患者（平均年龄32.8岁）中，14名患者使用口服避孕药（OCP）和宫内节育器，其中3名患者在OCP下经历了VA恶化。15名妇女有孩子，其中12名经历了VA的不同程度的恶化，在分娩或停止哺乳后恢复到基线。三名妇女出现了严重的并发症。在随后的每次妊娠中，并发症的程度是不同的。结论：妇女避孕和妊娠管理应个体化，并与VA转诊中心协调。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Cutaneous Medicine and Surgery 医学-皮肤病学

CiteScore

3.70

自引率

4.30%

发文量

审稿时长

6-12 weeks

期刊介绍： Journal of Cutaneous Medicine and Surgery (JCMS) aims to reflect the state of the art in cutaneous biology and dermatology by providing original scientific writings, as well as a complete critical review of the dermatology literature for clinicians, trainees, and academicians. JCMS endeavours to bring readers cutting edge dermatologic information in two distinct formats. Part of each issue features scholarly research and articles on issues of basic and applied science, insightful case reports, comprehensive continuing medical education, and in depth reviews, all of which provide theoretical framework for practitioners to make sound practical decisions. The evolving field of dermatology is highlighted through these articles. In addition, part of each issue is dedicated to making the most important developments in dermatology easily accessible to the clinician by presenting well-chosen, well-written, and highly organized information in a format that is interesting, clearly presented, and useful to patient care.